Volunteer Request Form

Volunteer Request Form

Please be sure to read this before submitting: https://biology.unm.edu/assets/docs/admin/usage-volunteers-sop.pdf

Participant Name*

Participant Email Address*

Under 18 Years of Age?*

If you are under 18 years of age, your supervisor will need to complete a background check

Select or enter value

Start Date for Volunteer*

Requests for Volunteer Insurance Coverage cannot be guaranteed unless submitted at least two (2) business days prior to the planned volunteer activity

Name of Person Volunteering Under*

Email of Person Volunteering Under*

Name of Project, Program, or Research*

Name of Emergency Contact*

Phone Number for Emergency Contact*

Phone

Health Insurance Company*

Policy Number*

Severe Allergies or Medical Conditions*

Yes

Please list any relevant allergies or medical conditions:

Please upload signed informed consent*

https://biology.unm.edu/assets/docs/admin/usage-volunteers-sop.pdf

Drag and drop files here or

Index for Liability Insurance*

Please ask supervisor for index

I hereby acknowledge I have reviewed and provided consent*

I, the undersigned Participant, desire to volunteer at the University of New Mexico, Department of Biology, Castetter Hall. In consideration

for being permitted to participate and volunteer in the Department of Biology, I hereby agree to and consent to this project.

Send me a copy of my responses

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