Volunteer Application

Denison Pequotsepos Nature Center Volunteer Application

Attn: Chelle Farrand, PO Box 122, Mystic, CT 06355 - 860-536-1216 x22153
Full Name *

First Name Last Name
Best Phone Number

- Area Code Phone Number
Is this a home, mobile or work number?
E-mail *

Address

Street Address
Street Address Line 2
City	State
Zip Code	Country

Emergency Contact and Phone Number
Emergency Contact Relationship
Gender

Male Female
Age

13-16 17-18 18-25 26-45 46-64 Over 65
Note: DPNC requires background checks for any volunteer 18 or over who will be working with children.
Employment Status

Employed Retired Student Other
What are your skills and experience?

Animal Handling Grant Writing Arts & Crafts Graphic Design Camp Counselor Landscaping/Gardening Carpentry Microsoft Office/Excel Cooking Music (Singing/Musical Instruments) Event Planning Office/Phone Skills Retail & Merchandizing Photography Storytelling Teaching/Classroom Experience Theater Trail Maintenance Typing/Data Entry Veterinary Skills Woodworking Other
Special Skills
What is the highest level of education you have completed?

Grammar School Current High School Student High School or Equivalent Vocational/Technical School Some College Associates Degree Bachelor's Degree Master's Degree Doctoral Degree Professional Degree
Have you ever been convicted of a crime?

Yes No
If yes, please comment.
Desired Start Date

- Month - Day Year
Desired End Date (if applicable)
What days of the week are you available? *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Other option
What time of day are you available? *

Morning Afternoon Full Day Evenings Other option
Are you interested in volunteering routinely?
If yes, how often are you interested in volunteering?
What is your area of interest? Please choose your top two.

Admin/Data Entry/Filing (16+) Birds of Prey Feeding (18+) Classroom Assistant (18+) Giving Garden (All Ages) Grounds/Trail Maintenance (16+) Reptile & Amphibian Feeding (18+) Special Events (16+) Teen Camp Assistant (13+)
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Denison Pequotsepos Nature Center Volunteer Application

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