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Safety Town Volunteer Application

  1. Safety Town Logo

  2. 2019 York County Safety Town Volunteer Application

    Thank you for your interest in volunteering your time and talents. Please complete the following information. Applications will be accepted beginning April 1, 2019. Space is limited - Only 50 volunteer slots available.

  3. Application Information:

    Applications will be accepted until slots are filled or until the deadline on Friday, May 24, 2019.

  4. Required Training Session

    Tuesday, June 25, 2019 in the Public Safety Building, 301 Goodwin Neck Road - 10 am until 11 am.

  5. Do you have transportation to and from Safety Town (Youth and Teen Volunteers ONLY)?

  6. Name / City / State

  7. Name / City / State

  8. Name / City / State

  9. This year's Safety Town Program will be held on the following dates at the sites listed below.

    Please indicate above the week(s) you are available to volunteer (ALL volunteers must commit to at least one entire week of the program)

  10. Please list two personal references (not relatives)

  11. EMERGENCY CONTACT INFORMATION FOR VOLUNTEERS

  12. Are there any allergies that we should be aware of?

  13. Are there are any specific accommodations that we should be aware of?

  14. Leave This Blank:

  15. This field is not part of the form submission.