Adult Volunteer Application/Placement Form

Please complete this application form if you are interested in becoming a Lewis Ginter Botanical Garden volunteer. Fields marked with an asterisk are required; the others are optional. Once you complete the form, click the submit button at the bottom.

Contact Information

Date of birth is required as some assignments at the Garden require legal adult status. Thank-you for your understanding.

First name:

Last name:

Nickname:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home Phone phone:

Work Phone phone:

Cell Phone phone:

Email address:

Date of birth:

Emergency Contact Information

First name:

Last name:

Primary Phone phone:

Relationship:

Application Type

Type:

Availability

Please indicate the days and times you are usually available to volunteer.

Areas of Interest

The garden wants to make the most of your time and talents while maximizing your volunteering experience. Please indicate areas of the garden you are interested in, any skills that you are willing to share, and your level of interest in community engagement. Community Engagement is the opportunity to participate in community projects coordinated by LGBG.

Educational Background

Education:

Current Employment

Employer:

Work Experience

Please list your most recent and/or valuable work experiences specifying: ^ organization ^ job title or duties ^ length of service

Volunteer Experience

Select from drop-down list. Select "OTHER" and explain below if no choice applies.

Volunteer Experience:

Volunteer Experience 2:

Please list your most recent and/or valuable volunteer experiences specifying: ^ organization ^ job title or duties ^ length of service ^ what you liked most ^ what you liked least

Special Circumstances

Do you require any special assistance or accomodations?

Accommodations?:

If yes, please explain required assistance/accomodations.

Criminal Record

Have you been convicted of a misdemeanor or felony in the past seven years (excluding traffic and parking violations)?

Criminal Record:

If yes, please specify: ^ Offense ^ Date ^ Jurisdiction

Image Release Consent

I grant to Lewis Ginter Botanical Garden, Inc. (LGBG) the right to take photographs of me in connection with LGBG. I authorize LGBG, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that LGBG may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, Web content and social media.

If you agree with the statement above please check the Image Release Consent box below.

Image Release Consent:

Referral: How did you find out about volunteering at Lewis Ginter Botanical Gardens?

Certification and Release Clause

Certification:

The statements made by me in this application are true and complete to the best of my knowledge. I understand that any willful misstatements or material omission on this application will be considered sufficient cause to disqualify me for volunteer opportunities at Lewis Ginter Botanical Garden, Inc.

Release Clause:

During such times as I am a participant in the Lewis Ginter Botanical Garden Volunteer, Inc. Program, I agree to assume full responsibility for such participation and release Lewis Ginter Botanical Garden, Inc. from any damages which I may sustain thereby. I fully understand that if my services are no longer needed, or my performance is not acceptable, Lewis Ginter Botanical Garden has the right to terminate my services as required and without notice.

I Agree