Lincoln-Adams 4-H Volunteer Application Lincoln-Adams 4-H Volunteer Application Name First Last Address Street Address Mailing Address City State Zip Code PhoneCan receive text messages Yes No Alternate PhoneEmail Residence Farm Rural Area Town Military Family Yes No If yes, branch of service Previous 4-H Leader I understand the purpose of a 4-H volunteer is to team with adults alongside any and all youth to build positive life skills. I wish to be affiliated with the following 4-H Club Davenport 4-H Club Reardan Livestock Ritzville I am motivated to be a 4-H volunteer by the following: (check all that apply) to help my child in 4-H opportunity to have with kids to motivate or mentor kids improve my job skills sense of duty there is a need, could not refuse be a part of the recognize 4-H program hope it will lead to a paying job to work with other adults providing positive activities for youth to help kids learn life skills to share my skills other Work or Volunteer Experience (List current or most recent first)Education, Skills, Training or other QualificationsReferences: List NON-family members who have knowledge of your skills, abilities, and qualifications. Individuals should have worked with you on projects and activities and/or have direct experience with or knowledge of your qualifications. Reference 1Name First Last Address Street Address Mailing Address City State Zip Code PhoneEmail Reference 2Name First Last Address(Required) Street Address Mailing Address City State Zip Code PhoneEmail Reference 3Name First Last Address Street Address Mailing Address City State Zip Code PhoneEmail I authorize the contact of listed references and understand a criminal background check will be completed prior to final consideration of my application to volunteer. I understand that the criminal background check may require submission of my fingerprint to confirm I.D. I understand that misrepresentation or omission of required information is just cause for non-appointment as a volunteer with Washington State University Extension. I understand that I serve at the pleasure of the Washington State University Extension and agree to abide by the policies of Washington State University Extension and the 4-H Program. I will fulfill the volunteer responsibilities to the best of my ability. I understand that should my application be accepted, training will be required for certification and official enrollment as a WSU 4-H Volunteer. I accept that I may be asked to submit to additional background checks periodically throughout my 4-H volunteer career. I agree