Shiftboard: Scarecrow Video Shiftboard Registration

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Registration: Scarecrow Video Shiftboard

If you have not yet registered for access to our online scheduling system, please complete the following form.

* required field

* First Name

* Last Name

* Email

* Zip/Postal Code

Primary/Home Phone

Mobile Phone

Address

City

State/Province

Country

T-Shirt/Gear Size

Birthdate

How did you hear about us?

Permit Background Check

Yes No

Have you been convicted of a felony or misdemeanor in the past 24 months?

Yes No

If yes, please explain

Do you speak any languages other than English? Please list and explain.

Are you able to use a computer and email? (Scheduling is done online)

Yes No

Please list any other relevant skills, educational, volunteer, or work experience:

Why do you want to volunteer with us?

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

Reference Name

Reference Phone Number

Reference Relationship

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Thank you for your interest!

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