Mill Grove Audubon Center

110 Wildwood Way, Harrisburg, PA 17110 Phone: 717-514-4607 Email: [email protected] Stream Team Volunteer Application Date:

Home Address:

Home Phone: Work Phone:

Cell Phone: Emergency Phone:

E-Mail Address:

Days of the week you are available during the months of April, May, September and October:

Time Preferred: Mornings: Afternoons: Anytime As Needed:

Describe any previous volunteer experience you have had:

Describe any special skills or hobbies that may be useful in your work with students:

Are your volunteer hours due to a community service obligation?

If yes, how many hours must you complete? Is this for high school, college, or other? (Please specify)

Please check topics that interest you: Environmental education Native plant gardening Stream ecosystems Sharing nature with children Photography Database development and maintenance Birdwatching Fishing Natural history Other (Specify):

If you are age 17 or below, you must print this form and send it to Audubon Pa with a parent or guardian’s signature below. If you are age 13 or below, you can only volunteer with a parent or guardian: Signature of parent or guardian: ______

Please complete the form and return as an attachment to [email protected], or print and mail to: Audubon Pennsylvania, Attn: Holly Smith, 110 Wildwood Way, Harrisburg, PA 17110. A background check is required for all persons age 18 and over before you can officially begin volunteering. The paperwork will be provided after your initial interview.