Vermont Adaptive Ski and Sports - Sports for Every Body

VOLUNTEER APPLICATION
Thank you for your interest in becoming a Vermont Adaptive volunteer! Please fill out the online form below
completely - then download the following two forms below and mail them back to us (mailing info is on the forms).
We'll be in touch shortly after receiving all of your information!

1. Click here to DOWNLOAD OUR BACKGROUND CHECK CONSENT FORM (PDF)
2. Click here to DOWNLOAD OUR VOLUNTEER WAIVER (PDF)

*All fields must be filled out completely to be able to submit this form.

PERSONAL INFORMATION
Which program do you want to volunteer with?
First Name
Last Name
Date of Birth	Format: MM/DD/YYYY
Address
City & State	Zip
Home Phone
Work Phone
E-mail
Occupation
Place of Employment
Can we call you at work?
Have you ever been convicted of a felony?
Experience with disabled or special skills:
INTERESTS	ABILITY LEVEL: BEGINNER :: INTERMEDIATE :: ADVANCED
Skiing
Snowboarding
Snowshoeing
Cross Country Ski
Horse Program
Biking
Rock Climbing
Hiking
Camping
Tennis
Boating
Golf
Fundraising / Office
Other:

Days of Preference
Full Day or Half Days
Available during school vacations?
Emergency Contact
Emergency Phone
How did you discover Vermont Adaptive?
What would you like to get out of volunteering for Vermont Adaptive?
REFERENCES
1. Name	Phone
Address	Relationship

2. Name	Phone
Address	Relationship

3. Name	Phone
Address	Relationship

	Please enter these numbers to complete this request.