Town of Archer Lodge, North Carolina - - Volunteer or Coach Application

Archer Lodge is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

*First Name

*Last Name

*Home Address

*City

*State/Province

*Postal Code

*Phone

*Email

Shirt Size

*Are you 18 years of age or older?

Yes

How did you learn about the Volunteer/Coaching Program? (Website, Facebook, Friend/Family, etc.)

Provide a brief explanation of why you would like to be a Volunteer/Coach?

Availability

Please uncheck any days and time periods that you are not available

Monday

Morning

Afternoon

Evening

Tuesday

Morning

Afternoon

Evening

Wednesday

Morning

Afternoon

Evening

Thursday

Morning

Afternoon

Evening

Friday

Morning

Afternoon

Evening

Saturday

Morning

Afternoon

Evening

Sunday

Morning

Afternoon

Evening

What sports, programs, events, etc. are you interested in? (List all that apply.)

What age group(s) are you interested in? (List all that apply.)

Do you have previous Volunteer/Coaching experience? If so, explain

Authorization and Certification I certify that the information in this application is true, complete, and accurate to the best of my knowledge. I acknowledge that I am subject to the Volunteer Policy as established by the Town of Archer Lodge. I acknowledge that I am not entitled to any worker’s compensation, medical, sick, pension, or any other benefits, which accrue to employees of the Town of Archer Lodge and hereby release the Town of Archer Lodge from any claims for any such benefits or for any other claim arising from the activities as a volunteer. I understand and acknowledge that by submitting this application, I am subject to a criminal history check, and the results of the criminal history check may disqualify me from volunteering/coaching with the Town of Archer Lodge in the sole discretion of the Town of Archer Lodge.

*Volunteer/Coaching Applicant Name (Type)

*Volunteer/ Coaching Applicant Signature

By Typing your name here you authorize it to be your signature

*Date

Town of Archer Lodge

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