Climate Stewards Volunteer Application app_cs First Name * Last Name * Street Address * City * Zipcode * Email * Phone Number * Phone Number (Alternate) Best Time to Call? Emergency Contact Name * Emergency Contact Phone Number * 1. Why do you want to become a Sustainable Community Steward/Waste Warrior? * 2. Please briefly describe any environmentally related volunteer work you are/were involved in: * 3. What environmental issues concern or interest you most? * 4. Please list areas of special interest or hobbies (doesn't have to be sustainability related) * 5. What educational, volunteer or work experiences do you bring to WSU? (talents, skills, etc.) * 6. Please describe any special skills you would like to share that could benefit the program: * 7. What type of volunteering do you enjoy most? (Outreach, office support, educational activites, research, etc.) * 8. Please list dates/times you will NOT be available for training (e.g. job, school, vacation, etc.). 9. How did you hear about the Climate Stewards program and volunteer training? Email Newsletter Newspaper Word of Mouth Flyer Social Media Presentations Climate Stewards Volunteer Radio OtherOther I authorize and understand a criminal background check will be completed prior to my participation as a volunteer. I understand that misrepresentation or omission of required information is just cause for non-appointment as a volunteer with WSU Extension. I understand that I serve at the pleasure of the WSU Extension and agree to abide by the policies of WSU Extension. I will fulfill the volunteer responsibilities to the best of my ability. I understand that should my application be accepted, training may be required for specific volunteer roles. Draw or Type Signature * Clear Signature Date Extension programs and employment are available to all without discrimination. Evidence of noncompliance may be reported through your local Extension office. Reasonable accommodations will be made for persons with disabilities and special needs who contact Patricia Townsend at 425-357-6020 or [email protected] at least two weeks prior to the event. Admin BG Check Not Submitted Submitted Cleared Expiring Expired Invoice Not Issued Issued Paid Notes Submit If you are human, leave this field blank.