Have you been a WAS volunteer before? *

Yes, I am a returning WAS volunteer.

No, this is my first volunteer application with WAS.

Name *

First Name

Last Name

Phone *

The best way to reach you.

(###)

###

####

What WAS programs interest you? *

Winter instruction

Winter junior instruction

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your birthday? *

MM

DD

YYYY

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Days Available to Volunteer *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do You Have Experience Working With Individuals with Any of the Following Disabilities? *

Amputation(s)

Visual Impairment

Hearing Impairment

Intellectual Disabilities

Cerebral Palsy

Serious Emotional Impairment

Multiple Sclerosis

Spina Bifida

Post-Polio

Spinal Cord Injuries

Traumatic Brain Injury

Other

None

Do you consent to a background check? *

WAS requires all volunteers to receive background checks before volunteering. By checking the "yes" box, you consent to a background check. If you check "no", you will not be considered for volunteering with Wintergreen Adaptive Sports.

Yes

No

Adaptive Equipment Experience *

Mono-Ski

Bi-Ski

Other Sit Skis

Ski Bra / Trombone

Three-Track

Four-Track

Snow Slider

Stand Up Tethering

Snow Wing

Other

None

I certify that all information submitted in this application form, or any resume, interview or other information, is true and complete and that I have not knowingly withheld, or will I withhold, any information that would affect my volunteer application. I understand that Wintergreen Adaptive Sports is under no obligation to consider or reconsider this application at any time, and that acceptance of my application does not constitute an offer of employment or volunteer status. I also understand and agree that: 1. Inquiries may be made of my employer, previous employers or others who may have knowledge of me, or with consumer credit, investigative, or other private or governmental agencies that may have information concerning me. I release all parties from any and all liability, claims or damages made directly or indirectly from providing that information. I also agree to hold harmless Wintergreen Adaptive Sports, the officers, directors, employees and volunteers thereof. 2. I understand that if my application to participate as a volunteer at Wintergreen Adaptive Sports is accepted, my status as a volunteer may be terminated with or without cause or notice at my option or at the option of Wintergreen Adaptive Sports. *

I have read the above and accept the terms.