Name (Last, First, Middle)
Date of Birth
Driver's License No.
Driver's License Expiration Date
Do you have transporation?
Please list and explain any other names you have used:
List any languages, other than English, which you speak fluently:
List any special skills, training, interests or hobbies that may be useful in volunteering
Medical problems we should be aware of:
Work Experience (1)
Work Experience (2)
Work Experience (3)
How did you hear about the volunteer program?
Have you ever been issued a citation, been arrested, and/or convicted of a crime?
If you are under 18, have you ever been referred to Juvenile Court?
Is there anything in your past, which might disqualify you from functioning as a volunteer?
If yes, describe briefly:
As a volunteer for a position with the Woodbury County Conservation Board (WCCB), I am willing to furnish information for use in determining my qualifications. In this connection, I authorize release of any and all information that you may have concerning me, including information of a confidential or privileged nature. I hereby release you, your organization, or others from liability or damage that may result from furnishing the information requested. I understand that for security reasons, a basic clearance check will be conducted. Further background information will be requested only if a specific volunteer assignment calls for a full security check. In consideration of being permitted to participate in Volunteers In Woodbury County Conservation Board, I, for myself, my spouse, legal representatives, heirs and assigns, do hereby release, waive and discharge the County of Woodbury County, Iowa, its officers and employees of each of them, referred to as Releases, from all liabilities to me, my spouse, legal representatives, heirs and assigns for any and all loss or damage and any claim or damages resulting therefrom, on account of injury to me or my property, while associating with the WCCB in this activity. I hereby assume full responsibility for the risk of bodily injury, death or property damage due to the negligence of Releasees or otherwise while actually participating in this activity. I expressly agree that this release and waiver is intended to be as broad and inclusive as permitted by the laws of the State of Iowa, and that if any portion thereof is held invalid, I agree that the balance shall, notwithstanding, continue in full legal force and effect.
Parent's Signature (If volunteer is not 18 years of age)
Volunteer Position Descriptions
Please indicate the types of Volunteer work which interest you & the area you are interested in:
Behind the Scenes—Indoors. Assisting in the Nature Center (DPNC) by answering phones, computer data entry; inventory gift shop merchandise; refill brochure areas; library upkeep; mailings; or other varied projects.
Docent. Gives introductions for scheduled groups, provide visitor information; lead informal tours of the Junior League Legacy Gallery-Exploring Fragile Giants (DPNC), monitor self-guided groups to ensure safety of exhibits and visitors.
Educational Volunteer. Provides special programs for school groups and youth, with or without the naturalist staff. Requires special training; must enjoy working with children. Special consideration given to retired educators and persons with experience working with youth education programs.
Special Events Volunteer. This category includes helping with public programs offered by the DPNC and possibly other park areas, spring plantings, Nature Calls fundraiser or other group projects.
Trail Patrol. Hike the trails on a regular basis to report problems; greet trail users; pick up litter; provide minor raking, pruning and trimming as needed; spread woodchips and maintain trail surfaces. Maintain the trails at the nature center and other park areas by assisting with special trail work days. Sections of trails can be adopted by individuals or groups. Training required.
Maintenance. Maintains indoor and outdoor areas. Performs light carpentry; fills and/or repairs feeders; cares for the animals in the exhibit area; cleans the 400-gallon aquarium (DPNC); painting; special clean-up days or other seasonal projects.
Gardener. Assist with landscaping and caring for our wildflower and butterfly gardens. Includes planting, watering, and weeding plants.
Park Maintenance. General maintenance that may include mowing, cleaning, trash pickup, controlled burns, etc. Duties to be determined by Park Resource Manager.
Range Safety Officer. Must be at least 21 years of age and completed the Range Safety Officer certification. Greet range users, assist with proper registration, review & explain range rules, take notes & report violations or issues to Resource Manager. Duties determined by Resource Manager.
If you are human, leave this field blank.