Volunteer Application, Glocester Land Trust

The Adult Waiver form which is located on the right side of this page must be downloaded and submitted to the GLT prior to being approved as a volunteer. Please send signed and notarized waiver form to: Glocester Land Trust, PO Box HH, Chepachet, RI 02814 ------------------------------------------------------------------------------------------------

Personal Information:

First and Last Name

Invalid Input

Street Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip Code

Invalid Input

Phone

Invalid Input

Email

Invalid Input

Have you ever been convicted of a criminal offense?

yesno Invalid Input

If your answer is yes, please indicate what offense and date with explanation on a separate sheet.

Activity Interests

Specialized volunteer activities in which you would be interested: (Please check all that apply)

Please list any other skills or areas of expertise you have that you feel may be relevant to our mission:

Invalid Input

Emergency Contact

Name

Invalid Input

Relationship

Invalid Input

Address

Invalid Input

Phone 1

Invalid Input

Phone 2

Invalid Input

Please type initials to sign application

Invalid Input

IMPORTANT - PLEASE READ

All volunteers that partake in GLT - sponsored events involving children are required to submit an official BCI check, as needed, from the Rhode Island Attorney General’s Of fice to the Glocester Land Trust. Volunteers are responsible for any costs associated with a BCI check, and are not required with this application.  Volunteers are responsible for their own personal protective equipment suitable for each task for which they have registered. Volunteers not dressed appropriately will be asked to leave.  Each volunteer must follow directions given to him or her by the GLT Activity Coordinator and be sure to notify the Coordinator immediately of any safety issues that he or she observes or creates.  No volunteers may at any time be under the influence of illicit drugs or alcohol while participating as a GLT Volunteer . Suspicion of being under the influence of alcohol or drugs will result in immediate dismissal from activities. The GLT Board of Trustees retains the right to dismiss any individual from p articipating as a GLT volunteer

Please check the box below(*)

Invalid Input

GLT Volunteer Application