| Personal Information |
| Name: |
|
|
|
|
|
| Address: |
|
|
|
|
|
| City: |
|
State: |
|
Zip: |
|
| E-mail: |
|
Phone: |
|
| DOB: |
|
|
|
|
|
| Shirt Size: |
|
|
|
|
|
Emergency
Contact: |
|
Phone: |
|
| Relationship: |
|
|
|
|
|
| Have you ever been convicted of a crime of violence, sexual misconduct or a felony? |
|
| If yes, please explain (include date of conviction and any pending litigation) |
|
| |
|
|
|
|
|
| Previous Volunteer Experience |
| Organization: |
|
Dates: |
|
| Duties / Responsibilities: |
|
|
|
|
|
| Duration of Service: |
|
|
|
|
|
| |
|
|
|
|
|
| Volunteer Services |
| Volunteer shifts will be scheduled on Saturday, June 18 and Sunday, June 19, 2011. |
| I am available to volunteer: |
|
| Number of shifts I'd like to volunteer per day: |
|
|
|
| I'd like to work: |
|
| If serving beer/wine, you must attend a class put on by the Muskegon Police on the evening of Wednesday, June 15th at 7pm, class is held in the community room of the Muskegon Fire Dept Headquarters on Terrace and Western. |
I will attend this class
I attended the class in 2010 (class good for 2 years, so you would not need to attend this year) |
| Special duties / services / talents: |
|
| How did you hear about us? |
|
| |
|
|
|
|
|
|
|
|
|