Volunteer Application

Basic Info

Name
Address
Are you interested in
*Please note the farm program is currently at capacity for volunteers and cannot accept any more at this time.

Your Demographics

DOB
Gender
Racial/Ethnic Group (Choose all that apply)

Occupation & Education

Highest Level of Education Completed
Are you currently enrolled in College/University
If highest level of education is High School/GED, enter the name of your school here.
If highest level of education is High School/GED, enter your graduation date here.
Are you eligible for work study? (Pitzer & HMC students only)

Additional Information

Do you have a current Driver's License?
Are you willing to drive a student?
Do you have car insurance?
Do you have any illness, addiction, or disability?
Have you ever been convicted of a crime?
Do you use and/or own any guns and/or firearms?
Are there any guns and/or firearms in your place of residency?

About You

Emergency Contact

Emergency Contact Name

Professional References

Please provide three professional adult references (no friends or family members) who we may contact. If you are employed, one reference must be a supervisor.
Reference 1 Name
Reference 2 Name
Reference 3 Name

Submit

I hearby certify that the information provided is true and further understand that any misrepresentation is grounds for removal from participation in Uncommon Good.