Non-Routine Work Request Form
Please complete and return this form 4-6 weeks prior to the date your group would like to
perform non-routine work. Non-routine work includes but is not limited to mulching, painting
projects, repairs or modifications to structures, landscape changes, and construction/
maintenance of unpaved trails. For more detailed information of actions classified as “non-
routine” please refer to your Adopt-A-Park Handbook.
Return by mail to: Louisville Parks Volunteer Office, P.O. Box 37280 Louisville, KY 40233 or email to
LMPRvolunteer@louisvilleky.gov. Questions? Call 1-502-574-6403 or email LMPRvolunteer@louisvilleky.gov
.
Group Name: Park Adopted:
Group Contact Person:
Phone: Email:
Proposed Task Date/Time: Alt. Task Date/Time:
Please describe your proposed project:
Please check one for each possible need:
Maintenance staff supervision & instruction
☐
☐
☐
Special tools or equipment (Supply Request Form may be necessary)
☐
☐
☐
☐
☐
☐
Scheduled time to meet with staff member prior to date to discuss details
☐
☐
☐
Additional volunteers (will be added to publicly viewed calendar)
☐
☐
☐
I understand that non-routine work may not be performed until approved by the Volunteer Office.
Volunteer Signature Date
☐Approved ☐ Denied Staff signature: Date:
Training Required? ☐Yes ☐No If yes, what training:
Supervision Required? ☐Yes ☐No
Operations Staff assigned to train/supervise:
