Form Center

2. 
3. POST Partners Volunteer Program
4. Inspection Checklist and Roster
6. Group:*
7. Clean-up/work outing date:*
9. Park/ Open Space/ Trail location*
11. Group Leader:*
12. Day phone:*
13. Number of Volunteers (include adults and youth)*
15. Total time worked:*
16. Number of bags collected of trash and/or weeds:*
18. Additional dates of service (outside of this work date, but within the same month)
20. What activities did you accomplish during you visit?*
22. What is the general condition of the adopted area?*
24. List any items of particular concern that require immediate maintenance attention.
26. Were Waivers received for all participants?

    1. Yes
    2. No
27. If not, please list the names of participants without waivers.
29. Please enter all volunteers
30. If hours vary for each volunteer, please list the individual hours below.
32. First Name
33. Last Name
34. Is the volunteer an adult or youth?

    1. Adult
    2. Youth
35. Number of volunteer hours
37. First Name
38. Last Name
39. Is the volunteer an adult or youth?

    1. Adult
    2. Youth
40. Number of volunteer hours
42. First Name
43. Last Name
44. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
45. Number of volunteer hours
47. First Name
48. Last Name
49. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
50. Number of volunteer hours
52. First Name
53. Last Name
54. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
55. Number of volunteer hours
57. First Name
58. Last Name
59. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
60. Number of volunteer hours
62. First Name
63. Last Name
64. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
65. Number of volunteer hours
67. First Name
68. Last Name
69. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
70. Number of volunteer hours
72. First Name
73. Last Name
74. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
75. Number of volunteer hours
77. First Name
78. Last Name
79. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
80. Number of volunteer hours
82. First Name
83. Last Name
84. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
85. Number of volunteer hours
87. First Name
88. Last Name
89. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
90. Number of volunteer hours
92. First Name
93. Last Name
94. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
95. Number of volunteer hours
97. First Name
98. Last Name
99. Is the volunteer and adult or youth?

    1. Adult
    2. Youth
100. Number of volunteer hours
102. First Name
103. Last Name
104. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
105. Number of volunteer hours
107. First Name
108. Last Name
109. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
110. Number of volunteer hours
112. First Name
113. Last Name
114. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
115. Number of volunteer hours
117. First Name
118. Last Name
119. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
120. Number of volunteer hours
122. First Name
123. Last Name
124. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
125. Number of volunteer hours
127. First Name
128. Last Name
129. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
130. Number of volunteer hours
132. First Name
133. Last Name
134. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
135. Number of volunteer hours
137. First Name
138. Last Name
139. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
140. Number of volunteer hours
142. First Name
143. Last Name
144. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
145. Number of volunteer hours
147. First Name
148. Last Name
149. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
150. Number of volunteer hours
152. First Name
153. Last Name
154. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
155. Number of volunteer hours
157. First Name
158. Last Name
159. Is the volunteer and adult or youth?

     1. Adult
     2. Youth
160. Number of volunteer hours
162. Does any volunteer need community service hours for court or to count towards their high school graduation requirement?

     1. Yes
     2. No
     3. N/A
163. List names here:
Leave This Blank:


165. 1. Receive an email copy of this form.
166. Email address

     This field is not part of the form submission.

167. Submit Submit and Print

* indicates a required field