Volunteer Application Name* First Last PhoneEmail* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Place of EmploymentOccupationVolunteer InformationMinimum qualifications. Select check-boxes to confirm you meet them.* Available at least 1 time per week Appropriate equipment for rides---Road Bike and/or Mountain Bike, Bike Helmet Ability to be self-sufficient on rides which includes having basic tools and knowledge to fix a flat, put a chain on, and other minor mechanical issues one can encounter on the road or trails. How often would you like to volunteer with El Grupo?* Once a Week More than Once a Week Once or Twice a Month Other Please describe 'Other' in the space provided:Volunteer Opportunities* Assisting with Practice Rides for Team El Grupo- ages 12-18 (adult supervision, encouragement, support, and guidance for youth) Assisting with Practice Rides for Grupito- ages 7-12 (adult supervision, encouragement, support, and guidance for youth) El Grupito PracticesMonday 4:00-6:30 PMTuesday 4:00-6:30 PMWednesday 4:00-6:30 PMThursday 4:00-6:30 PMSaturday - 1 per month (varies)Sunday - 1 per month (varies)El Grupo Practices*Tuesday 4:00-6:30 PMWednesday 4:00-6:30 PMThursday 4:00-6:30 PMSaturday (Varies)Sunday (Varies)Experience and Skills Mechanical Skills Leadership Development Education Youth Outreach Bike Touring/Travel Bike Racing Bicycle Safety Carpentry/Handiwork Emergency Contact InformationEmergency Contact* First Last Emergency Contact Phone*Emergency Contact Alternate PhoneEmergency Contact Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's StatementI certify that all answers give herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at a decision regarding my volunteer involvement. In the event that I become a volunteer with El Grupo, I understand that I am required to abide by all rules and regulations of El Grupo Youth Cycling. Please type your full name and the date below.*
