Volunteer Application Form

Boulder Valley ICO Volunteer Application
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Emergency Contact #1 (Name, Phone, Address)*
Emergency Contact #2 (Name, Phone, Address)
Medical Insurance Provider & Policy Number
Sierra Club Membership Number & Expiration Date (if known)
How did you hear about ICO? What (if any) interactions have you had with ICO to date?*
The following questions ask about your experience and skills. This is not a test; there is no expected minimum set of qualifying skills or experience.
Identify previous or current volunteer experiences you have had as an adult that may be relevant to your roles as an ICO leader. Please include the name of the organization, the timeline of your commitment, and the roles you served.*

Describe your outdoor interests and experiences.

	Interested to learn	Have experience doing	Can guide or teach
Backpacking
Mountain biking
Fly fishing
Snowshoeing
Fly tying
Camping
Orienteering
Hiking

Briefly describe previous experience you have had working with youth.*
Are you a certified leader with another Sierra Club entity?*

YesNo
Do you know anyone who is currently an ICO volunteer?

YesNo
What is their name?
Please provide contact information for at least two references who are not relatives, and who preferably know you in a work or volunteer context
What type of child behavior really tries your patience? Can you give me an example of one that did? Describe what happened. How did you handle the situation? Would you do anything differently if it happened again?
Have you ever had anyone seriously injured while in your care, custody, or control? Describe the circumstances and your response. Would you do anything differently?
How do you avoid and/or deal with disagreement or conflict with and among peers?
Would you describe yourself as a self-starter? Do you have frequent opportunities to exercise independent judgment at work or in other aspects of life? Do you work under close supervision or fairly independently?
How much time do you think you would normally have available to organize and lead outings? Over what span of time do you expect to be able to volunteer?
Are you willing to contribute time to non-outing activities (like fund-raising, tabling, etc.) that are important to program success?
How did you find out about our program?

VolunteerMatchSierra Club newsletterSierra Club chapter emailIndian Peaks Group emailSierra Club Chapter websiteNational Sierra Club websiteWord of mouthTabling eventFacebookYouTubeMeetUpPosted flyerOther
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Boulder Valley ICO Volunteer Application