Dear Applicant, Thank you for your interest in volunteering with the ...

Date:
Volunteer Application
Name: Birthday (month/date): /
Address:
City/State/Zip:
Home Phone:
Cell Phone:
Ramsey County Parks and Recreation Department - Volunteer Program
2015 North Van Dyke Street
Maplewood, Minnesota 55109
Telephone: (651) 748-2500 Fax: (651) 748-2508 E-mail: parks@co.ramsey.mn.us
Work Phone:
E-mail Address:
Have you ever been convicted, given a
suspended sentence, placed on probation or
imprisoned for any violation of the law
If yes, explain:
Please list any volunteer service related tasks
that you should not be involved in due to a
disability or health condition; also identify any
accommodations that we could make:
Employer (or previous employer):
Address/Telephone:
Occupation (or previous occupation):
Please list any previous volunteer experience.
Organization/Contact Person Duties Date
Please list four references.
1.
2.
3.
4.
Name/Relationship Address or E-mail Address Telephone
I understand that the information requested on this application will be used for volunteer assignment and record keeping,
and that all information will be held confidential, except where release is authorized. I hereby authorize the Ramsey
County Parks and Recreation Department Volunteer Program to conduct an inquiry of any or all references, employers
and schools (past or present). I authorize the afore mentioned parties to release pertinent information to the Ramsey
County Parks and Recreation Department Volunteer Program.
Signature/date:
An equal opportunity employer—affirmative action employer