Earth Day Indiana Online Volunteer Form

Your Name*_________________________________________________________

E-mail Address*_____________________________________________________

Telephone*___________________________Cell___________________________

Address* __________________________________________________________

City*______________________________________ State*_____ Zip*__________

Company________________________________________Title______________

Work phone _________________________________________

How I found this opportunity:__________________________________________

What would be the best time to call you at home? ____________

OK to call you at work? Yes ____ No ____

As an Earth Day volunteer, you will be responsible for one 3-hour shift. (If you would like to do more than one 3-hour shift, that's great! Just please make a note.) We'll do our best to give you something as close as possible to the shift and activity you prefer, and will confirm by e-mail (if no e-mail, then mail or phone).

I prefer (check one general time of day; actual shift times may vary by activity):

___ No preference, any time of day you need me

___ Set-up the day before (Friday the 25th, 3-6 p.m., hang banners, assemble prize bags)

___ Saturday Morning (For example, 7 - 10 a.m., 8:30-11:30 a.m., 9-12 noon)

___ Saturday Midday (For example, 10 a.m. - 1 p.m., 11 a.m.-2p.m., or noon-3 p.m.)

___ Saturday Afternoon (For example, 1-4 p.m. or 2-5 p.m.)

___ Other 3-hour shift or comments_____________________________________

I prefer the following activities on Earth Day (please check your top 3):

___ Any Activity (I am flexible to work in any area where I'm most needed)

___ Set Up (hang banners, put up signs, unpack boxes, etc. (a.m. shifts only)

___ Pick Up and Delivery (make trips in your truck or car, load & unload)

___ Exhibitor check-in (assist exhibitors)

___ Volunteer check-in (sign-in and direct volunteers to their activities)

___ Food tent (oversee the food area & provide assistance to vendors)

___ Children's tent (assist tent supervisors, limited positions available)

___ Programs/surveys (hand out event programs & ask short survey questions)

___ Traffic (supervise traffic barricade and site access for emergency vehicles)

___ Trash/recycling (keep trash & recycling boxes emptied, pick up trash)

___ The "Pack-up Pack" (4:30 - 6:30 p.m., take down signs, pack up stuff & load it on the truck)

You also may check:

___ I would like to work during the year to plan and prepare for next Earth Day

Release and waiver of liability: In consideration of volunteering for Earth Day Indiana, I hereby personally assume all risks in connection with all activities sponsored by Earth Day Indiana Festival. As a result I further release Earth Day Indiana its officers and members, board members, promoters, sponsors, advertiser, and employees from all liability for any injury or damage that may occur while I am participating. By submitting this form I agree to this waiver and release. (Signature may be requested at event.)

Please copy this form into MS Word, and e-mail your completed form to info@earthdayindiana.org

If you don't have e-mail, please print & mail this form to:

Earth Day Indiana Volunteers, PO Box 40655, Indianapolis IN 46240

Questions? Please leave a message at: (317) 767-3672.