Volunteer Application
Legal Name*
Today's Date*
Address*
City, State, Zip*
Email Address*
Primary Phone* ( ) -
Secondary Phone* ( ) -
What position/positions are you interested in?*
 
How did you hear about this volunteer opportunity?*
 
Are you 16 years of age or older?* Yes
No
Are you interested in our Teen Volunteer program for student in 9-12 grade? * Yes
No
If Yes, what grade are you in?
Are you under 16 and need accompaniment by a parent/guardian?* Yes
No
Have you ever been convicted of any law violation (including any plea of "guilty" or "no contest" but excluding minor traffic violations)?*
  Yes
No
Once your application has been processed, we will contact you about a personal interview. For more information, please contact Mary Molliconi at 402-694-4032 or mary@edgerton@org.

- A conviction will not necessarily disqualify an applicant
- This is to ensure the safety of our visitors, staff and volunteers

Confirmation Code:
Enter the code shown in the box before clicking on submit.

Note: Fields marked by an asterisk (*) are required.

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