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Little River Wetlands Project
5000 Smith Road
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Amy Silva, Executive Director
Betsy Yankowiak, Director of Preserves and Programs
Liz Hincks, Environmental Education Coordinator
Your application has been submitted!
Name (First, Middle, and Last)
About how many hours per month do you wish to volunteer?
When are you available to start?
Can you come in at a regular weekly time?
How often might you be available?
Would you prefer an 'as needed' schedule for special events or projects?
Or some other schedule? (Please explain)
Your current availability:
Please explain why you would like to volunteer for LRWP and what type work you might be interested in doing:
Please list skills and hobbies:
Please list any recent work and volunteer activities:
List the name, address, and telephone number of three references who are not related to you.
Have you ever been convicted of a crime?
Please state when, where and final outcome:
I certify that this application was completed by me and that all entries on it and all information in it are TRUE and COMPLETE to the best of my knowledge.
I authorize investigation of all statements contained in this application as may be necessary in arriving at a decision.
I understand that information may be obtained through interviews with the references. This inquiry may include information as to my character, general reputation, and personal characteristics.
I hereby release all parties, including Little River Wetlands Project and references, from liability for any injury or damage that may result from their furnishing information concerning me or any action Little River Wetlands Project takes on the basis of such information.
I further grant permission to Little River Wetlands Project and/or agents authorized by them to use any photographs, videotapes, motion picture, recordings, or any other record for any purpose.
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