Please read the Volunteering With SFICO Backpacking Section THOROUGHLY before submitting your application.

Because we work with children and other vulnerable individuals, we must ask you to cooperate in some screening procedures. Please complete our application form, including references and other information. We require your permission to check with the California Department of Justice, the FBI, or the Department of Motor Vehicles for matters of public record regarding your history and driving record as we deem necessary. Your name, address, and phone numbers will be included periodically in the ICO Newsletter on a list of persons interested in volunteering.

I.

Your Name ________________________________________________________

Address ___________________________________________________________

              ___________________________________________________________

Phone (H) ________________________ (W) _____________________________

Other (Fax, Pager, e-mail) _____________________________________________

II.

On the back of this page, please BRIEFLY describe your experience with youth, hiking, backpacking, etc., and any special skills you have. List any first aid or wilderness training or certification you have had. Tell us WHY you want to volunteer with ICO.

III.

Please list three character references (other than relatives) for us to contact who can vouch for your character and ethics. Include one work reference. List name, address, and phone.

1. ________________________________________________________________

    ________________________________________________________________

2. ________________________________________________________________

    ________________________________________________________________

3. (Business reference) ________________________________________________

    ________________________________________________________________

IV. AVAILABILITY

Are you sometimes available to participate on outings on weekdays? YES / NO

Do you own an automobile in safe mechanical condition? YES / NO

Do you carry personal liability and property damage insurance on your car? YES / NO

Insurance company and policy number: __________________________________

Driver's license number:______________________________________________

V. SECURITY

Have you ever been convicted of a crime, excluding minor traffic violations? YES / NO

Do you object to ICO checking with the Department of Justice and the Department of Motor Vehicles for matters of public record regarding your background or history? YES / NO

SIGNATURE :_______________________________ DATE______________

Mail your completed application, and $10* (check made payable to ICO) to:
San Francisco ICO
c/o David Greene
P.O.Box 26061
San Francisco, CA 94126-6061.
Or fax to 510-496-3663 ext. SFICO

* The $10 payment covers processing and a year's subscription to the ICO Newsletter (free renewal for active volunteers and leaders). This payment helps to cover our administrative costs in processing your application and allows us to use our funds to provide our beneficiaries with food, transportation, and equipment. Scholarships are available.

Page design donated by Webgal Design for Inner City Outings San Francisco Bay Chapter.