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Volunteer Application
PRINCE GEORGES COUNTY
(11/2009)
Name: Last First Middle
Name(s) previously used, including maiden name: _________________________________________________________
Address:
Street Address City State Zip
Phone: Home Best time to call
Office Best time to call
Mobile _______________________________________ Best time to call _______________________________
Email: Preferred method of communication: _______________________
Valid drivers license number ________________________________________
In case of emergency contact:
Name Phone Number
List the volunteer position(s) for which you are applying: Master Gardener Program
List the tasks or responsibilities you prefer:
Check those with whom you prefer to work:
( ) Youth ( ) Young Adults ( ) Adults ( ) Senior Citizens
Volunteer experience (List most recent experience first.)
OrganizationVolunteer role(s)From
month/yearTo
month/yearContact person
address and phone number
MEP 316
Work experience (List most recent experience first.)
EmployerPosition or titleFrom
month/yearTo
month/yearContact person
address and phone number
List your skills, interests and hobbies:
List organizations or clubs in which you are active:
List languages in which you are fluent:
Have you ever been convicted of, pled nolo contender to, or received a deferred or suspended sentence for a crime more serious than a parking offense in this or any other state, territory, or country? _____ No _____ Yes
If yes, please give date, nature of offense, and disposition:
(A criminal record will not necessarily prevent an applicant from being a MG Volunteer; a criminal record will be considered as it relates to specifics of the volunteer position for which you are applying. Give all the facts so that a decision can be made.)
Reference: List three people who have definite knowledge of your character and skills. Complete addresses are required. Do not list family members or Extension staff.
Name Phone: Email:__ ______________________________
Address
Street address City State Zip
Name Phone: Email:__ ______________________________
Address
Street address City State Zip
Name Phone: Email:__ ______________________________
Address
Street address City State Zip
I authorize University of Maryland Extension to request and receive any background information about or concerning me, including, but not limited to my Criminal History. I also authorize University of Maryland Extension to contact the listed references, previous employers and volunteer organizations, and to verify the information provided. I understand that misrepresentation or omission of facts requested is cause for nonappointment or dismissal as a volunteer. If appointed as a volunteer, I agree to abide by the philosophies and policies of the University of Maryland Extension, as well as individual program areas and to fulfill the volunteer responsibilities to the best of my ability.
I certify that, to the best of my knowledge and belief, all of my statements are true, correct, complete and made in good faith.
Applicant Signature: _______ Date:
The University of Maryland is equal opportunity. The Universitys policies, programs and activities are in conformance with pertinent Federal and State laws and regulations on nondiscrimination regarding race, color, religion, age, national origin, gender and disability. Inquiries regarding compliance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments; Section 504 of the Rehabilitation Act of 1973; and the Americans with Disability Act of 1990; or related legal requirements should be directed to the Director of Personnel/Human Relations, Office of the Dean, College of Agriculture, Symons Hall, College Park, MD 20742
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2017-12-11T13:10:24-05:00
2017-12-11T18:10:24Z
2017-12-11T13:10:24-05:00
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2017-12-11T13:10:24-05:00
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