Volunteer Registration Old Form

References
Please list three people who know you well and can attest to your character, skills, and dependability. If you are currently working, either paid or volunteer, please include the name of your supervisor.
Reference #1
Name
First Last
Address
Street Address City State ZIP Code
Phone
Relationship
Reference #2
Name
First Last
Address
Street Address City State ZIP Code
Phone
Relationship
Reference #3
Name
First Last
Address
Street Address City State ZIP Code
Phone
Relationship
Please read the following carefully before submitting your application:
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Bike Safe I M that is true, correct and complete to the best of my knowledge. I cerifiy that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that the information contained on my application will be verfied by Bike Safe I M. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Bike safe I M or my termination as a volunteer.

Bike Safe I M is an equal opprotunity employer.
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