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COSCA Volunteer Corps: Application

We appreciate your interest in our volunteer programs. All information will be kept confidential. Volunteers will not be entitled to any compensation, health or life insurance, or other employee benefits.

Note: * indicates required fields.


PERSONAL INFORMATION:
* Name (First & Last): 
* Street Address: 
* City, State, & Zip Code: 
* Area Code & Phone Number: 
* Email Address: 
* Age: 
Occupation: 
Work Phone: 
 
SPONSOR INFORMATION:
Name (individual or organization): 
Representative: 
Street Address: 
City, State, & Zip Code: 
Area Code & Phone Number: 
Email Address: 
 
IN CASE OF EMERGENCY, NOTIFY:
* Name (First & Last): 
* Street Address: 
* City, State, & Zip Code: 
* Area Code & Phone Number: 
* Relationship: 
 
PHYSICAL LIMITATIONS:
* List any physical conditions or 
limitations which would affect 
your ability to perform certain 
assignments, or state "None". 
 
SPECIAL SKILLS:
List any experience or special 
skills related to the program(s) 
for which you wish to volunteer. 
 
AREA(S) OF INTEREST: (check all that apply)
Trail Patrol: 
Trail Watch: 
Adopt-A-Trail:    Trail to be Adopted:  
Trail Work: 
Annual Trail Work Day: 
Trails Education Days: 
Fundraising: 
Education / Outreach: 
Other:      Explain Other: