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2. Name(s) of Host(s)
3. Street Address
5. City
6. State
7. Zip
9. Phones w/Area Code
10. Email Address
12. Number of people who will be residing in the Campground Host Site
13. Any Pets?
15. Description of Skills & Experiences
17. Specific Interests and/or Hobbies
19. Type of Camping Unit
21. Camper
22. Trailer/Size
23. Motorhome
24. Tent
26. Month & Year Available
27. How long would you be available to Host
29. How did you hear about the Campground Host Opportunity
31. Please list three references we may contact about you
33. Name
34. Relationship
36. Address
38. Phone
40. Name
41. Relationship
43. Address
45. Phone
47. Name
48. Relationship
50. Address
52. Phone
54. Other Comments
56. Notice to Volunteer
    Volunteers are not considered to be County employees. Volunteer service is not creditable for leave accrual or any other benefit. However, volunteer service is creditable work experience. By signing this application, the volunteer(s) understand s/he may be subject to a background check. This check may include a criminal history inquiry.
57. Privacy Act Statement
    Following information is provided to comply with the Privacy Act (PL 93-579). 5 U.S.C. 301 and 7 CFR 260 authorize acceptance of information requested on this form. The data will be used to contact applicants and to interview, screen, and select them for volunteer assignments. Furnishing this data is voluntary.
60. 1. I hereby have read and accept the Notice and Privacy Statement.
62. Signature
    Please print your full name to digitally sign this form.
63. Date
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit Submit and Print

* indicates a required field