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Green Living Science Volunteer Interest Form
Name
*
First Name
Last Name
Preferred Pronouns
Disclaimer: Pronouns are an important part of the English language. GLS respects everyone's personal gender pronouns and ask that those who partner with First Step, do the same.
select one
She/Her/Hers
He/Him/His
They/Them/Theirs
Email
*
Verify Email
*
Phone
*
Preferred contact method
*
Email
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Date of Birth
*
(mm/dd/yyyy)
If you are a student, what school do you attend?
How did you hear about us?
Friend or Family Member
Website
Google
Social Media (Facebook, Instagram, Twitter, LinkedIn)
Event
News
Recycling at Recycle Here!
Volunteering with another group
Other
Volunteer Interest
Areas of Interest
Assisting with youth programs
Service projects
Clerical work in the office
Marketing
Canvasing Events
Other Skills or Talents you have to offer:
Photography, muralist, etc.
If this is for a service learning project or internship, do you need paperwork filled out, a letter of recommendation or record of hours worked?
*
Please email paperwork to info@greenlivingscience.org
Yes
No
If yes, how many hours are needed to fulfill your internship or service learning project requirements?
Is this court ordered community service?
*
Yes
No
Additional Information
Background Check
Please be advised that due to the vulnerable populations we work with, we are required to complete a background check for all volunteers and personnel. The Internet Criminal History Access Tool (ICHAT) allows the search of public records contained in the Michigan Criminal History Record maintained by the Michigan State Police, Criminal Justice Information Center. The following questions are required by ICHAT in order to complete the background check:
Gender
*
These are the options on the ICHAT platform in order to perform the search. Disclaimer: Answering this question will never impact your ability to partner, volunteer, and/or intern with GLS. GLS strives to cultivate an inclusive work environment that values the skills, talents, perspectives, and lived experiences of demographically diverse service providers. We ask for gender to help measure our success in recruiting a gender diverse group of interns/volunteers and to conduct the background check.
select one
Male
Female
Unknown
Race
*
Disclaimer: Answering this question will never impact your ability to partner, volunteer, and/or intern with GLS. GLS strives to cultivate an inclusive work environment that values the skills, talents, perspectives, and lived experiences of demographically diverse service providers. We ask for race/ethnicity to help measure our success in recruiting a racially/ethnically diverse group of interns/volunteers and to conduct the background check.
select one
American Indian/Alaskan Native
Asian or Pacific Islander
Black
Unknown/Other
White
You authorize us to perform a background check.
*
Yes
No
Electronic Signature
*
****By signing this form, you are authorizing us to perform a background check****
Today's Date
(mm/dd/yyyy)