What's your email address?

Your information


Required fields are marked with an asterisk (*).
First name *
Last name *
Mobile phone *
Street address *
City *
State *
Zip code *
Are you 18 or older? *
Preferred method of contact:

Emergency Contact Info. (Name, Relationship, Phone #) *
List special skills or interests (i.e. technical support, familiarity with POS systems, public speaking, musical,enjoys working with children, artistic, medically trained, culinary skills, bilingual, etc.): *
Are you able to lift 40lbs.? *
Does your employer have a ‘Dollars for Doers’ program that matches volunteer hours with a monetarydonation to the non-profit? *
What is your t-shirt size? *
Do you have any medical issues we should be aware of? *

Disclaimer


Who is this registration for?

This application does not discriminate in securing volunteers on the basis of race, color, religious creed, national origin, sex, or ancestry; or on the basis of age against persons whose age is over forty, or on the basis of handicap or disability and any other characteristic required by law. No question on this form is intended to secure information to be used for such discrimination.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I understand that my volunteer service is at will and can be terminated with or without reason by myselfor the Greater Easton Development Partnership.

If I am engaged as a volunteer by GEDP in any of their organizations, I agree to observe all rules, regulations, policies and procedures.