Learning with Trees Liaison Volunteer Application Question Title * 1. Contact information: Name Street Address City/Town State Zipcode Cell Phone Work Phone E-Mail Address Question Title * 2. During which hours are you available for volunteer assignments? Available Not available Weekday mornings Weekday mornings Available Weekday mornings Not available Weekday afternoons Weekday afternoons Available Weekday afternoons Not available Weekday evenings Weekday evenings Available Weekday evenings Not available Weekend mornings Weekend mornings Available Weekend mornings Not available Weekend afternoons Weekend afternoons Available Weekend afternoons Not available Weekend evenings Weekend evenings Available Weekend evenings Not available Question Title * 3. How far are you willing to travel? 10 mile radius from home 25 mile radius from home 50 mile radius from home It depends Other - Please explain Question Title * 4. On a scale of 1-4, tell us your comfort level in the following skills. (1=very comfortable 2=comfortable 3=comfortable with guidance 4=not comfortable) 1 2 3 4 Mulching Mulching 1 Mulching 2 Mulching 3 Mulching 4 Weeding Weeding 1 Weeding 2 Weeding 3 Weeding 4 Diagnosing plant health issues Diagnosing plant health issues 1 Diagnosing plant health issues 2 Diagnosing plant health issues 3 Diagnosing plant health issues 4 Structural pruning of young trees Structural pruning of young trees 1 Structural pruning of young trees 2 Structural pruning of young trees 3 Structural pruning of young trees 4 Teaching and leading groups of volunteers Teaching and leading groups of volunteers 1 Teaching and leading groups of volunteers 2 Teaching and leading groups of volunteers 3 Teaching and leading groups of volunteers 4 Developing maintenance plans Developing maintenance plans 1 Developing maintenance plans 2 Developing maintenance plans 3 Developing maintenance plans 4 Volunteer coordination Volunteer coordination 1 Volunteer coordination 2 Volunteer coordination 3 Volunteer coordination 4 Educating youth Educating youth 1 Educating youth 2 Educating youth 3 Educating youth 4 Question Title * 5. Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Question Title * 6. Explain briefly why you would like to be a Learning with Trees Liaison. Question Title * 7. Person to notify in case of emergency Name Work Phone Cell Phone Question Title * 8. Agreement and Signature - By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal Name Date It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us. Done