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Adopt-A-Cabin

&/or Volunteer Application

 Name or Organization ________________________________________ 

 Social Security # or EIN number  ________________________    email __________________

 Address__________________________   Home Telephone (___)___________________

 _________________________________  Work Telephone (___)___________________

 Birth Date ________________________   Cell Phone (___)_______________________

 Occupation (Current or Past) ________________________________________________

 References (name, occupation, phone):

1)

2)

3)

 I/we wish to volunteer my services at the Armar Bordner cabin in Swatara State Park:  (Circle one or more)

 1) Interpretation            2) Maintenance     3) Research     4) Grounds Host     5) General

 List previous experience or education in the selected program area:__________________

I am available on a ____ Year-Round basis; ____ Seasonal Basis;  ____ Monthly basis (which month? _________________); or one day per week as follows

Sunday   Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   Sunday

 Hours:  _________________________________________________________________

 I am in good health and physically able to carry out accepted duties.  I promise to display a willing and courteous attitude and present a neat and pleasing appearance at all times.

 Signature ______________________________________  Date ____________________

 Signature ______________________________________ 

 Signature ______________________________________ 

 Signature ______________________________________ 

 Signature ______________________________________

 Mail to SCWA, 2501 Cumberland St., Suite 4, Lebanon PA  17042