City of Lynchburg - Public Works

nicholas.meyer@lynchburgva.gov

1700 Memorial Ave. Lynchburg

(434) 455-4411

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Volunteer!Lynchburg Application

Tree Stewards

Thank you for your interest in volunteering for the City of Lynchburg! Please complete the following information and then click submit.

Today's Date

Primary Phone Number

Secondary Phone Number

Age Range

19 - 30

30 - 50

Over 50

During which hours are you available for volunteer opportunities?

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekend Mornings

Weekend Afternoons

Weekend Evenings

How many hours per week and/or per month can you volunteer?

Week

Month

What type of volunteering are you interested in?

One-Time Volunteer

On-Going Volunteer

Are you volunteering to satisfy an education requirement?

Yes

Highest level of education completed:

Work experience (please summarize):

Physical limitations if any:

Special skills or qualifications:

Previous volunteer experience:

Please share with us why you are interested in volunteering as a Tree Steward.

Please provide two references (name, phone and/or email and relationship).

Person to notify in case of emergency:

Primary Phone Number

Secondary Phone Number

Agreement and Signature (if under 18 years of age, a Parent or Guardian must sign)

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. It is also understood that depending on the type of volunteer service I am selected for, a background check may be performed.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.