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Event Volunteer Sign Up – Simple Form
Event Photos
Pink Gorilla Events
Education Events
2018 Mayor’s Run Non-Profit of the Year
Bike Safe I M Ribbon Cutting
Rita Weilage Memorial Ride & Walk
Fun Stuff
About
About Us
Our Story
Mission of the Foundation
Leadership
Team Q&As
Make-A-Donation
Donors & Sponsors
Make A Donation
Donation FAQs
Sponsors
Be a Sponsor
Volunteers
Our Volunteers
Volunteer Sign Up
How Can You Help
Foundation Advocates
Bike & Helmet Safety
Fitting Your Helmet
Riding Rules & Tips
Teaching your Child to Ride a Bicycle
How Children See Traffic
Our Response to Some Negative Views on Helmets
Videos
Events
Event Volunteer Sign Up – Simple Form
Event Photos
Pink Gorilla Events
Education Events
2018 Mayor’s Run Non-Profit of the Year
Bike Safe I M Ribbon Cutting
Rita Weilage Memorial Ride & Walk
Fun Stuff
Volunteer Registration Old Form
Home
»
Our Volunteers
»
Volunteer Registration Old Form
Step
1
of
4
- Personal Information
0%
Name
First
Last
Mobile Phone
Home Phone
Work Phone
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Education
Highest level of education
Employment
Current employment, if applicable:
Position/Title:
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Phone
May you be contacted at work:
Yes
No
Brief description of work:
Would you like us to keep your employer abreast of your volunteer services and achievement?
Yes
No
Skills & Experience
Special training, skills, hobbies:
Groups, clubs, organizational memberships:
Please describe your prior volunteer experience (include organization, responsibilities, dates of service):_
Why do you want to volunteer for Bike Safe IM?
How long have you lived in the area?
Do you speak a foreign language?
Select
Yes
No
If yes, what language?
Do you have a driver's license?
Select
Yes
No
Do you have regular access to a car?
Select
Yes
No
Do you have any physical limitations?
Select
Yes
No
If yes, please describe:
Have you ever been convicted of a crime other than a traffic violation?
*
Select
Yes
No
If yes, what charge(s)? Dates (?)
Do you consent to a routine check of your criminal record?
Select
Yes
No
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Relationship
Reference #2
Name
First
Last
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Relationship
Reference #3
Name
First
Last
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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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