*The high expectations of the Teen Volunteer Program include the requirement that teens complete this application, contact references, and handle all professional communication themselves. By selecting “Yes” below, you certify that you are the teenager who is interested volunteering and not any other party.
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Yes, I am a teen interested in volunteering
I am not a teen interested in volunteering. I will close this window and will not submit this application for another person.
*Please state your last name.
*Please state your first name.
*Please enter your middle initial.
*Please enter your date of birth in MM/DD/YYYY format
Apartment/Unit # if applicable
*Preferred phone number in ###-###-#### format please.
*Have you been convicted of a felony or misdemeanor other than a minor traffic violation?
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If yes, does the criminal conviction involve a barrier crime as defined by the Code of Virginia 63.2-1726? (If you are unsure, please view the list of barrier crimes at this url http://leg1.state.va.us/cgi-bin/legp504.exe?000+cod+63.2-1719 )YesNo
*Are you fulfilling court appointed community service hours?
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*What attracted you to PRCS? What aspect of our work motivates you to seek to volunteer here?
*What have you enjoyed most about your previous volunteer work? About previous paid employment?
*Areas of Interest: (select all that apply)Adaptive Recreation Volunteers assist with Special Olympics events, Camps, Trips and other recreation programs for people with disabilities.Cultural & Historical Volunteers assist with tours, education classes, historical research and performances.Community Centers Volunteers assist with youth & adult programs, special events and special/ongoing projects.Parks and Trails Volunteers assist with trail maintenance, general litter/trash pickup, lead and assist with nature programs, and assist the Naturalist.Programs & Services Volunteers drive for Home Delivered Meals Program, counsel for the Tax or Medicare Program, assist with one day events, and lead youth after school programs. Also, volunteers serSenior & Adult Day Centers Volunteers assist with social, wellness, fitness and educational activities of active older adults or participants with memory loss or physical limitations. Sports Volunteers coach youth & adult leagues, assist with tournaments and outdoor sports such as football, soccer, fastpitch, frisbee, kickball, softball and more.
*Ages of Interest: (select all that you are interested in working with)Preschool (less than 6) Elementary (6 to 12) Teenager (13 to19) Young Adult (20 to 34) Adult (35 to 55) Older Adult (55 or older)
*Availability: (select all that apply)Weekday mornings Weekday afternoon Weekday eveningsWeekends Special Events Special Projects
*Full name of 1st emergency contact
*Your relationship to 1st emergency contact
*Best phone number for emergency contact. (In ###-###-#### format please)
*Please list the city that your 1st emergency contact resides in.
*Full name of 2nd emergency contact.
*Your relationship to 2nd emergency contact.
*Best phone number for 2nd emergency contact. (In ###-###-#### format please)
*Please list the city that your 2nd emergency contact resides in.
If you have a medical condition that PRCS needs to be aware of, please describe.
*By selecting Yes, I certify that the statements made in this Volunteer Application are true, correct, and given voluntarily. I understand that the Loudoun County Department of Parks, Recreation and Community Services reserves the right to screen volunteers and the Department will not accept as a volunteer anyone who would jeopardize any aspect of service or safety of PRCS customers and staff. I understand that I will not be paid for my services as a volunteer, and I give my time freely to the department/division to which I am assigned. I will also not abuse any information, materials, or hardware I may use or obtain while volunteering.
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