Section 1 of 1 in this document

Volunteer Interest Form

Thank you for your interest in volunteering with the City of Orem Department of Public Works. Please complete the form below and we will contact you shortly.

Phone Number

Zip Code

What type of service project interests you? (please check all that apply)

Adopt a Spot (help take care of flower beds)

Bike Skills Park Maintenance

Court-Appointed Community Service

Eagle Projects

Orem Summerfest

Hydrant Helper (paint fire hydrants)

Litter Patrol

Park Beautification

Soil Conservation

What category best describes you?

Individual

Group of Friends/Family

Business

Civic Group

Religious Group

School Organization

Name of Group/Organization

How many people would like to participate?

What type of volunteer commitment is right for you?

A one-time annual event

Seasonally

About once a month

A few times a month

About once a week

AVAILABILITY (please check all possibilities)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Mornings

Mornings/Monday

Mornings/Tuesday

Mornings/Wednesday

Mornings/Thursday

Mornings/Friday

Mornings/Saturday

Afternoons

Afternoons/Monday

Afternoons/Tuesday

Afternoons/Wednesday

Afternoons/Thursday

Afternoons/Friday

Afternoons/Saturday

Evenings

Evenings/Monday

Evenings/Tuesday

Evenings/Wednesday

Evenings/Thursday

Evenings/Friday

Evenings/Saturday

Are you looking for a particular date? Please select below.

List any type of relevant skills or experience you/your group members may have

What do you hope to gain from your volunteer experience?

Is there anything else you would like to share?

This section will be completed by the Department of Public Works:

Applcation reviewed on:__________	Called on:__________	Emailed on:__________
Area assigned:__________	Service project date:__________	Service project time frame:__________

Comments: