Volunteer Application

Contact Information

Name:  
Street Address: 
City:      State:      Zip Code: 
Home Phone: 
Work Phone: 
E-mail Address: 

Other Information

List any specialized training or qualifications might be helpful, such as Hazardous Waste Worker HAZWOPER Training, chemistry background, traffic control, or experience in handling hazardous waste.

Some volunteer positions will require lifting, turning, and standing for extended periods.  Please identify any restrictions that will limit your job assignment.

Check the volunteer positions for which you might be interested:  (To check more than one box, hold down shift key.)
  Greeter (hand out information/survey packets)
  Set up, runner, or take down
  Unloading Area (requires HAZWOPER)
  Oil and Antifreeze (requires HAZWOPER)
  Traffic Control
  Paint Area
  Sorting Area (requires HAZWOPER)
  Wherever I can help

Availability (identify the times you will be available during the event:

  Morning Afternoon      Other specific times: