Lake Metroparks Volunteer Application

Lake Metroparks Volunteer Office
30525 Lake Shore Blvd.
Willowick, Ohio 44095
(440) 585-3418/585-2322/585-2520 Fax: (440) 585-3224
E-mail: volunteer@lakemetroparks.com

Adult Volunteer Youth Volunteer
Youth Volunteers, please enter your birthday / MM / DD YYYY
Name * First Last
Address
Street Address

Address Line 2

City

State

Zip Code
Today's Date * / MM / DD YYYY
Home Telephone - (###) - ### ####
Home Fax Machine - (###) - ### ####
Cell Phone - (###) - ### ####
E-mail Address
Work Telephone - (###) - ### ####
Work Fax Machine - (###) - ### ####
Work Cell Phone - (###) - ### ####
Work E-mail
(Optional) Birth Date: / MM / DD YYYY
(optional)
Gender Male Female
Person to contact in case of emergency
Name First Last
Phone Number - (###) - ### ####
Relationship
Name First Last
Phone Number - (###) - ### ####
Relationship
If emergency contacts cannot be reached, Lake Metroparks reserves the right to seek medical assistance at the nearest medical facility and will be held harmless in all legal issues that may arise from this descision.
Service Commitment
I understand that I have made a volunteer service commitment to Lake Metroparks. I shall complete all training required and fulfill the assignments to which I have committed. I, the undersigned, state that all information completed is true. I authorize Lake Metroparks to verify the information by any means necessary. Lake Metroparks reserves the right to dismiss volunteer(s) at any time for any reason; advance written notice is not required.

Ohio Law Notice to Current and Prospective Volunteers: In accordance with the Ohio Law 187 Sec. 109.575 effective March 22, 2001 all organizations and entities that may have volunteers who regularly have unsupervised access to children, the organization or entity must inform the person that, at anytime, the person might be required to provide a set of fingerprints and criminal recoreds check might be conducted with respect to the volunteer. All Lake Metroparks volunteers that may have unsupervised access to children might be required to have fingerprinting and a criminal background check.
Verify * I verify the information is accurate.
Name * First Last
Date / MM / DD YYYY
Lake Metroparks Volunteer Waiver
In consideration of my participation in volunteer activities in and around Lake Metroparks, I do hereby declare myself to be medically able to participate in volunteer activities of Lake Metroparks. I understandthat there may be risks involved in all physical activities, and I agree to familiarize myself with all equipment, rules and physical demands related to the activities that I undertake. I agree to hold Lake Metroparks and the Board of Commissioners, employees, volunteers, and sponsors free from all liability and/or claims for injuries or damages to property or person. I hereby for myself, my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims for damages which I have or which may hereafter accrue to me arising out of or connected with my participation in any of the activities of Lake Metroparks.
Verify * I verify the information is accurate.
Name * First Last
Date * / MM / DD YYYY
Can perform your task with or without accommodations?
With Without
Education: Last School Year Completed:
Education: Other
Occupation
Place of employment
References (no relatives please):
Name First Last
Phone - (###) - ### ####
Relationship
Name First Last
Phone - (###) - ### ####
Relationship
Please list the day(s) and time(s) you are available to volunteer:
Please indicate your main area of interest(s): Adapted Recreation / Special Olympics Animal Care Biking Boating Canoeing Children's Programs Citizens for Lake Metroparks College Project/Internship Crafts & Hobbies Driver/Courier Educational Support Farming Fishing Gardening Gift Shop Golf Course High School Project Historical Interpretation Kayaking Lake Metroparks Foundation Maintenance Marketing/Public Relations Nature Programs/Hikes Recreation & Sports Sailing Senior Programs Special events Stewardship Support Service Team programs Tourism Corporate Sales & Development Trail Patrol (Mounted, Bike, Hike, Dog) Visitors Service Wildlife Rehabilation Center
Other
List your previous volunteer experience
How did you learn about Lake Metroparks Volunteer programs?
This information does not bar you from volunteering, but may effect placement: I confirm by signing this statement, that I have not been convicted of a crime of child abuse, unlawful sexual behavior or a felony. Furthermore, I grant Lake Metroparks permission to acquire any criminal records that I may have incurred.
Verify * I verify the information is accurate.
Name * First Last
The Lake Metroparks recommends that all volunteers have a current tetanus shot.
What was the date of your last tetanus shot? / MM / DD YYYY
Lake Metroparks does not discriminate on the basis of race, color, religion, gender, age, nationality or disability in employment, services, programs, or activities.
Volunteer Agreement
As a volunteer for Lake Metroparks Volunteer Program I agree:
- To accept my assignment with an open mind and willingness to learn.
- To accept supervision by staff member and/or volunteer staff in order to do a better job.
- To be responsible for my volunteer work and to act with proper consideration for those I work with.
- To notify the volunteer office of any changes in my situation that will effect my completing my assignment.
- To follow the guidelines provided to me.
- To make a legitimate effort to be on time to my volunteer assignment.
- VOLUNTEER SEXUAL AND OTHER UNLAWFUL
  HARASSMENT
  Policy and Procedures Lake Metroparks is committed to providing a work environment that is free of discrimination and unlawful harassment. Actions, words, jokes, or comments based on an individual's sex, race, ethnicity, age, religion, or any other legally protected characteristic shall not be tolerated. As an example, sexual harassment (both overt and subtle) is a form of employee misconduct that is demeaning to another person, undermines the integrity of the employment relationship, and is strictly prohibited.
  
  Any employee who wants to report an incident of sexual or other unlawful harassment shall promptly report the matter to his or her supervisor. If the supervisor is unavailable or the employee believes it would be inappropriate to contact that person, the employee shall immediately contact the Division Head or Personnel Department.
- Employees/Volunteers can raise concerns and make reports without fear of reprisal.
  
  Any supervisor or manager who becomes aware of possible sexual or other unlawful harassment shall promptly advise the Volunteer Program Manager, Division Head, Personnel Department, and Executive Director who shall handle the matter in a timely and confidential manner.
  
  Anyone engaging in sexual or other unlawful harassment shall be subject to disciplinary action, up to and including termination of volunteer service.
- I understand that, should I fail to comply with the guidelines or fail to keep the commitment without giving the Lake Metroparks Volunteer Department adequate notice, I will not be able to complete my volunteer service with the Lake Metroparks.
- Please Print
- Verify * I verify the information is accurate.
- Name * First Last
- Date / MM / DD YYYY
- Lake Metroparks
  PHOTOGRAPHY MODEL RELEASE
- I grant permission to Lake Metroparks to use images of me (adult) and/or my minor child(ren) named below or the purposes of promoting Lake Metroparks’ parks, facilities, services, programs and special events. I understand that photographs, slides, videos or digital images may appear in publications (or other printed promotional pieces), slide shows, displays, videos; on signs or the Lake Metroparks website; and/or be used in presentations for the purpose of explaining or promoting the mission and opportunities provided by the park system. Image selection, placement, cropping and reproduction will be determined at Lake Metroparks' discretion.
- Minor Child(ren) Names
- Verify * I verify the information is accurate.
- Name * First Last
- Date / MM / DD YYYY
- Address
  Street Address
  
  Address Line 2
  
  City
  
  State
  
  Zip Code
- Daytime Phone - (###) - ### ####
- Evening Phone - (###) - ### ####
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Lake Metroparks Volunteer Application

Lake Metroparks Volunteer Application

Service Commitment

Lake Metroparks Volunteer Waiver

Volunteer Agreement

VOLUNTEER SEXUAL AND OTHER UNLAWFUL

HARASSMENT

Lake Metroparks