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
Yes
No
Unsure
Special tools or equipment (Supply Request Form may be necessary)
Yes
No
Unsure
Debris pick-up
Yes
No
Unsure
Scheduled time to meet with staff member prior to date to discuss details
Yes
No
Unsure
Additional volunteers (will be added to publicly viewed calendar)
Yes
No
Unsure
I understand that non-routine work may not be performed until approved by the Volunteer Office.
Volunteer Signature Date
Office Use Only:
Approved Denied Staff signature: Date:
Training Required? Yes No If yes, what training:
Supervision Required? Yes No
Operations Staff assigned to train/supervise: