2021 Volunteer Program Enrollment

Participant Information

Question Title

* 1. Contact Information

First & Last Name

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. How did you hear about the Volunteer Program

TV Media

Internet

Social media

Word of mouth

Staff

Other (please specify)

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* 3. Are you wanting to earn monthly membership to Memphis Rox through volunteering?

Yes

No

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* 4. I understand that if I do not complete the required 5 hours of volunteer service the month prior, I will not receive my volunteer membership the following month, and will be required to provide the suggested pricing or "Pay What you Can" option when entering Memphis Rox.

Yes

No

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* 5. Do you have any third party certifications that would be beneficial to the volunteer program? (CPR, Wilderness first aid, Teacher, electrician, fitness instructor, etc) if so, please explain

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* 6. What would be your availability for volunteer services? (select all that apply)

Weekdays

Weekends

Afternoons

Evenings

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* 7. Please read the following documents and check the boxes to indicate you have read and agree to all terms and conditions of the Memphis Rox Volunteer program.

Program Behavior Policy

Volunteer Program Agreement