Apply to become an adult 4-H Volunteer

Step 1 of 5

Name(Required)

First Last

Preferred Name (for official name badge)

First Last

Fastener you prefer for your name badge

Magnet

How may we refer to you?

she/her

he/him

they/them

Other

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

If needed, what is the best time to call?

Email(Required)

Enter Email Confirm Email

Date of Birth(Required)

References - Not related to you

List non-family members who have known you at least one year, and 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. Please provide complete e-mail addresses and phone numbers. Your references will automatically be sent a request by e-mail to complete a digital form. We will contact them by phone if additional detail is required.

Reference #1 - Name(Required)

First Last

Reference #1 - Relationship to you(Required)

Reference #1 - Phone(Required)

Reference #1 - Email(Required)

Enter Email Confirm Email

Reference #2

Reference #2 - Name(Required)

First Last

Reference #2 - Relationship to you(Required)

Reference #2 - Phone(Required)

Reference #2 - Email(Required)

Enter Email Confirm Email

Reference #3

Reference #3 - Name(Required)

First Last

Reference #3 - Relationship to you(Required)

Reference #3 - Phone(Required)

Reference #3 - Email(Required)

Enter Email Confirm Email

Extension programs and policies are consistent with federal and state laws and regulations on nondiscrimination regarding race, sex, religion, age, color, creed, national or ethnic origin; physical, mental, or sensory disability; marital status, sexual orientation, or status as a Vietnam-era or disabled veteran. Evidence of noncompliance may be reported through your local Extension office.

In addition to the volunteer application and reference checks, other requirements for becoming a 4-H volunteer include an interview, self-paced online training, and background screening. Additional training is required for volunteers in specialized roles.

I understand that youth and adult participants at 4-H meetings, events, and activities may be asked to complete an evaluation. Completion of the evaluations is always optional. I understand that references will be contacted in the processing of my volunteer application, and I authorize such contact. I also understand that a background screening will be required. 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 individual program areas and to fulfill the volunteer responsibilities to the best of my ability.

Your typed signature will be accepted here as a legitimate signature.(Required)

Name

First Last

Apply to become an adult 4-H Volunteer

Program Contact

Quick Links

WSU 4-H Volunteer Application - Snohomish County

Work, Education, and Volunteer Experience (please provide most recent experience first)

Work, Education, and Volunteer Experience (please provide SECOND most recent experience)

Work, Education, and Volunteer Experience (please provide THIRD most recent experience)

References - Not related to you

Reference #2

Reference #3

In addition to the volunteer application and reference checks, other requirements for becoming a 4-H volunteer include an interview, self-paced online training, and background screening. Additional training is required for volunteers in specialized roles.