Volunteer Program

Volunteer Program
Army Community Service (ACS), B.4700 Mow-Way
Phone: 580-442-2360
Email: [email protected]
“Volunteer Service Corp”

Camp Cowabunga Volunteer Application

Volunteer Application

Authority: Title 10, United States Code, Section 3012.
Principal Purpose: To record essential background information on volunteers.
Routine Uses: Coordinating volunteer services at Fort Sill, recruiting volunteers and planning volunteer awards programs.

Mandatory or Voluntary Disclosure and Effect on Individual not Providing Information: Providing information is voluntary. Not providing information will prevent keeping a record of individual volunteer qualifications and services and may prevent volunteers from receiving awards.

Name:
Home Phone:
Work Phone:
Email Address:
Home Address:
Spouses Name, Rank and Title:
Spouses Rotation Date:
Education Level: (check one)	8 or below 9 10 11 12
College: (check one)	0 1 2 3 4
Masters Degree or Above:	Yes No
Please list any special training courses you have taken:
Have you had CPR training?	Yes No
If you have had CPR training what was the date?
Have you had First Aid training?	Yes No
If you have had First Aid training what was the date?
Give a brief description of your work experience.
What are your goals, what would you like to gain from your volunteer experience?
Check all that interest you. CONCERTS:	Ticket Taker Wrist Bands Hospitality Volunteer Check-In Speciality Booths
Check all that interest you. CHILDCARE:	Playgroup Assist in Room
Check all that interest you. OFFICE:	Clerical Packets
Check all that interest you. MISC:	Veterinary Education Red Cross Thrift Shop Veterans Clinic Library Youth Services ASYMCA ACS Scouting
Please list your available days and times below.