Volunteer Application We’re so excited you want to join us at LC Nature Park! Please fill out this application, and we’ll be in touch. Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Date of Birth * MM DD YYYY Why do you want to volunteer with LC Nature Park? * Which volunteer activities are you applying for? Please select the volunteer area(s) you are interested in applying Land Steward Trail Guide Docent Mills Education Center Guide List any skills and hobbies. List any recent work/volunteer activities. * Were you referred by a current LCNP volunteer or staff? List their first and last name Contact information for 3 personal references: * Please include the following required information: Name, relationship, phone number, and email. Have you ever been convicted of a crime? * Yes No If you answered YES to the above, please describe the details, including date, and outcome below: EEOC Statement * LC Nature Park, Inc. is an equal opportunity employer. It is the policy of the Park to prohibit discrimination and harassment of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information, or veteran status. The Park will conform to the spirit as well as the letter of all applicable laws and regulations. The Park will take action to employ, advance in employment and treat qualified Vietnam-era veterans and disabled veterans without discrimination in all employment practices. It is the policy of this corporation to cooperate to the fullest extent with the applicable regulations of the Civil Rights Act of 1964, the Pregnancy Discrimination Act of 1978, Executive Order 11246, the Age Discrimination in Employment Act, the Americans with Disabilities Act, the Rehabilitation Act of 1973, and the Uniformed Services and Re-Employment Rights Act of 1994. Check here to acknowledge the LCNP EEOC Statement has been disclosed. I certify that this application was completed by me and that all information provided is correct and true to the best of my knowledge. * Yes I authorize LC Nature Park perform all necessary background checks as part of their investigation into all statements provided in this application. * Yes I authorize LC Nature Park to contact my personal references and understand that information pertaining to my character, reputation, and personal characteristics may be obtained to help in their decision. * Yes I authorize the use of all photos, video, etc. for LC Nature Park promotional purposes. * Yes I hereby authorize LC Nature Park to investigate all statements contained in this application as may be necessary in arriving at a decision regarding my abilities as a volunteer. * Yes I release all parties, including LC Nature Park (LCNP) and references, from any and all liability for any injury or damage that may result from their furnishing information concerning me or any action LC Nature Park takes on the basis of such information. * Yes Volunteer Camp Counselor applicant certification For Volunteer Camp Counselor applicants only: I certify that I have the permission of a parent or guardian to apply for the Volunteer Camp Counselor position and will submit the required Consent to Participate form, required Medical Release, and optional Photo Release signed by a parent or guardian if accepted into the program. Yes Online Signature * Please type your full name in this field, which will serve as your online signature. Thank you!
