Name:*

Address:*

City:*

State:*

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code:*

Telephone:*

Email Address:

Date of Birth:*

Emergency Contact Name:

Telephone:

Employment - Please list current or most recent employer

Employer's Name:

Address:

Telephone:

Dates of employment:

Supervisor:

Reason for Leaving (if applicable):

Have you previously been employed by CCPRC?

Yes

No

If yes, when & in what capacity:

Have you ever been convicted of a crime other than a minor traffic violation? If yes, Please explain.*

Please note: A "Yes" answer will not necessarily bar you from joining our volunteer program. The nature, severity, and date of offense will be considered in relation to your placement.

Please select your top three preferred locations:

#1*

Select Location Kiawah Beachwalker Park Ravenel Caw Caw Interpretive Center Cooper River Marina (North Charleston) Folly Beach County Park Edwin S. Taylor Folly Beach Fishing Pier Headquarters Office (James Island) Isle of Palms County Park James Island County Park Mullet Hall Equestrian Center at Johns Island County Park Mount Pleasant Palmetto Islands County Park North Charleston Wannamaker County Park

#2*

Select Location Kiawah Beachwalker County Park Ravenel Caw Caw Interpretive Center Cooper River Marina (North Charleston) Folly Beach County Park Edwin S. Taylor Folly Beach Fishing Pier Headquarters Office (James Island) Isle of Palms County Park James Island County Park Mullet Hall Equestrian Center at Johns Island County Park Mount Pleasant Palmetto Islands County Park North Charleston Wannamaker County Park

#3*

Select Location Kiawah Beachwalker County Park Ravenel Caw Caw Interpretive Center Cooper River Marina (North Charleston) Folly Beach County Park Edwin S. Taylor Folly Beach Fishing Pier Headquarters Office (James Island) Isle of Palms County Park James Island County Park Mullet Hall Equestrian Center Mount Pleasant Palmetto Islands County Park North Charleston Wannamaker County Park

When would you be available? Check any that are applicable.*

Anytime Weekdays Weekends Holidays

Mornings Afternoons Evenings

Please select areas of special interest. Check more than one if applicable.*

Assist as needed Canoe & Kayak Environmental Education Festivals Group Picnics

Holiday Festival of Lights Marketing Mascots Outdoor Concerts Summer Camp

List any special skills or trades you have that may assist Charleston County Park and Recreation Commission:

How did you hear about volunteer opportunities with Charleston County Park and Recreation Commission?

Reason for volunteering:

I agree to abide by the rules and regulations of Charleston County Park and Recreation Commission to which I am assigned. I agree and understand that all statements on this form are true and accurate; any misrepresentation or omission of facts may result in my disqualification. I hereby release Charleston County Park and Recreation Commission from any liability or claim whatsoever for any event in which I am involved. I understand this is not a contract and agree it is for no definite period and may be terminated at any time without prior notice. I also authorize and understand a background check will be conducted.*

Before submitting, please check that you have read and understood the above statement.