City of Orem

pwolfley@orem.org

56 N. State St., Orem, UT, 84057, US

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)

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: