Volunteer Application for Clean Wisconsin

If you would like become a volunteer, please fill out and submit this form:

Name:

Address:

City:

State, Zip:

Phone:

(Daytime)

(Evening)

E-mail:

Verification:

(Enter the text as it appears in the image)

Do you have Internet access? Yes No

Is this for university or college credit? Yes No

Do you want to volunteer in our Madison office or from a different location (i.e. home)? Yes No

1.	How did you hear about Clean Wisconsin?

2.	Have you volunteered for a non-profit before? If so, where did you volunteer, what were your tasks, and how did you enjoy the experience?

3.	Why do you want to volunteer with Clean Wisconsin?

4.	What are your main environmental concerns/interests? (such as air pollution, water quality, environmental education, wildlife habitat, etc)

5.	What skills can you bring to Clean Wisconsin?

6.	What would you like to gain from your experience with Clean Wisconsin?

7.	What hours are you available to volunteer?

8.	If you have volunteered in the past, please list one name and phone number of a previous volunteer supervisor. If you have not previously volunteered, please list one personal or professional reference.