Volunteer Application

(fields marked with * are required)

General Information

First Name*

Last Name*

Phone*

Email*

Street Address*

City*

State*

Zip Code*

Your emergency contact's information:

First Name*

Last Name*

Phone*

Relationship to You*

Street Address*

City*

State*

Zip Code*

Education

Please indicate the highest level of education you have achieved so far:*

High school you attended or are attending:*

If applicable, college you attended or are attending:

If applicable, your college major or majors:

Experience

Please list any work or volunteer experience with any individuals with special needs or in the area of recreation. Include: place worked, length of time, age and type of disability of participants, supervisor’s name and phone number.

Disclaimer

I am over 16 years of age. I hereby assume complete responsibility for any injury or damage sustained by the applicant and release Northeast DuPage Special Recreation Association of any and all liability for such injury or damage occurring during volunteer work for Northeast DuPage Special Recreation Association.*

Thank you for volunteering. Someone from NEDSRA will be in touch with you shortly.