Volunteer Application Form

2. Volunteer Information
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Phone Number*
18. Emergency Contact Information
20. First Name*
21. Last Name*
23. Phone Number*
27. Areas of Interest; Please check all that apply: *

    1. Meals on Wheels Driver (Pioneer Community Center)
    2. Reception (Pioneer Community Center)
    3. Event Support (Pioneer Community Center)
    4. Nutrition Support (Pioneer Community Center)
    5. Dining Room Host (Pioneer Community Center)
    6. Arts and Crafts (Pioneer Community Center)
    7. Fitness/Exercise (Pioneer Community Center)
    8. Tech/Computers (Pioneer Community Center)
    9. Games Facilitator (Pioneer Community Center)
    10. Guest Speaker/Presenter (Pioneer Community Center)
    11. Gardening (Pioneer Community Center)
    12. Activity Leader (Pioneer Community Center)
    13. Park Host
    14. Oregon City Ivy League (invasive species removal)
    15. Cemetery Clean-ups
    16. Parks Clean-ups
    17. Ermatinger Field Trips
    18. Ermatinger Tours
    19. Seasonal Camps and Field Trips
    20. Junior Camp Counselor Program
    21. Swim Lesson Aid Program
    22. Concerts in the Park Event Volunteer
    23. Misc. Parks and Recreation Events
    24. Misc. Cleaning/Organizing (Parks and Recreation)
    25. Boards and Committees
    26. Transcriptionist/Records Keeping
    27. Event Transportation Management
    28. Community Events/Programs
    29. Other
29. Other:
31. When are you available to volunteer? *

    1. On a regular basis
    2. Once a week
    3. Once a month
    4. Only for Special Events
    5. Other
33. Other:
35. Preferred volunteer days: Check any and all that apply: *

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
37. ADA: Do you have any special needs that require reasonable accommodations?*

    1. Yes
    2. No
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field