Volunteer Application

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First Name:	Last Name:
Street:	Region(s) of Interest:
City:	Zip: State:
Business Phone:	Home Phone:
Mobile Phone:	Email:
Languages spoken:	Languages spoken (other):
Employer/Position (Optional):	Industry:
Volunteer interests:	Team leader interest?:
Volunteer interests (other):
Volunteer experience:
Convicted felon?:	If yes, explanation:
Please Provide Two Character References and Emergency Contact Information
Full Name:	Relationship:
Phone: Alt:	Email:
Full Name:	Relationship:
Phone: Alt:	Email:
Full Name (Emergency):	Phone (Emergency):
I understand that this is an application expressing my interest in volunteering with the organization GRID Alternatives. I agree to read and follow all safety protocol provided to me by GRID Alternatives. I agree to treat GRID Alternatives staff, volunteers, and clients with respect. I understand that in order to volunteer on a GRID Alternatives project, I will be required to sign a release of liability waiver. I understand that by participating in this program, I am agreeing to allow photos of myself and/or my property to be used for publicity purposes. I certify that I am 18 years or older.

BY INITIALING BELOW I CONFIRM THAT I HAVE READ AND AGREED TO THE FOLLOWING TERMS AND CONDITIONS

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