Get Involved

If you would like to become actively involved with us, please fill in the required fields below and press 'Submit Form'. Thank you very much for your kind support.

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Contacting you

Full name*

Address*

Phone number:*

Email address*

Occupation/Education

Employer

Occupation

Name of school currently attending

Major

If hours required for school, number of hours and needed by when?

Professor

Class

Permissions

Photo release - by clicking 'I Agree', I give permission for my photo to be used (for no other purpose) than to promote the programs/activities of AWWAI Agree

Upload your photo (optional)

Transportation and auto insurance - I will supply reasonable transportation to and from the site where I will be volunteering; I acknowledge that I have my own auto insurance and liability coverage; I understand that it is the policy of AWWA that transportation of clients in our personal automobiles is prohibited in all circumstances

Additional information

Do you have a police record other than minor traffic violations? If so, please explain

Person to notify in case of an emergency

Their relationship to you

Telephone number (daytime)

Telephone number (evening)

Reference 1

Name of 1st Reference*

Telephone number*

Email address

Reference 2

Name of 2nd Reference*

Telephone number*

Email address

Reference 3

Name of 3rd Reference*

Telephone number*

Email address

Signature

Electronic Signature - by clicking 'I Agree' I affirm that all information on this form is true, to the best of my knowledge* I Agree

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Get Involved: Volunteering

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