Volunteer Application
Thank you for your interest in volunteer opportunities at Chippewa Nature Center. Please complete this application in as much detail as possible. Once you submit this application, the Director of Volunteers and Outreach will be in touch with you.
Personal Information
*Name
*Street Address
*City
*State
*Zip Code
*Email
Cell Phone
Home phone
Place of Employment
Position
Work phone
May we contact you at work?

Are you under 18 years old?

Emergency Contact Information
*Name of Emergency Contact
*Emergency Contact Phone Number(s)
Please feel free to include more than one phone number for your emergency contact.
Background Check Information
Chippewa Nature Center (CNC) will perform background checks on volunteers depending on the duration and type of volunteer work they perform. By completing this form, you are granting permission for CNC to complete a background check on you for the purposes of volunteering at CNC. The background check may include ICHAT, Central Registry Clearance, and the Sex Offender Registry.
Please list other names you have used.
This includes maiden names or previous names.
*Have you ever been convicted of a felony?

Volunteer Information
When would you be available to volunteer?
Feel free to check multiple boxes.





In which areas would you like to volunteer?
Feel free to check multiple boxes.










I am interested in helping with special events in the following ways:






Are there any special skills that you are interested in sharing?









I am interested in getting involved with the following specia interest group(s):




Is there anything else you'd like us to know as we review your volunteer application?
References
Please provide contact information for a minimum of 2 references who are not members of your family.
*Reference 1 Name
*Reference 1 Phone
Reference 1 Email

*Reference 2 Name
*Reference 2 Phone
Reference 2 Email

Reference 3 Name
Reference 3 Phone
Reference 3 Email
How did you hear about volunteering at Chippewa Nature Center?