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

More documents

Recommendations

Info

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
Volunteer Service Information How did you learn of our volunteer program How long are you willing to commit your services family member web page other (please specify): friend walk in 3 months 6 months 9 months 1 year other (please specify): How frequently do you wish to volunteer What are your preferred days/times (please circle) weekly other (please specify): monthly Sun. Mon. Tue. Wed. Thr. Fri. Sat. Morning Afternoon Evening Do you speak any language(s) other than English If yes, which one(s): What are your hobbies and interests What type of volunteer experience interests you Volunteer Coordinator Notes: School/grade: Name of parent/guardian: If under age of 18 years, complete this section Telephone number where parent/guardian can be reached: Day: Cell: Parental/Guardian Consent I hereby give permission to perform volunteer service for Ramsey County Parks and Recreation Department. I understand that in the event of an emergency, you will attempt to contact me. However, if I am unable to be reached, you may contact: Name/relationship: Day phone: Cell phone: I also give consent to take whatever emergency steps necessary to safeguard the health and welfare of my child. Parent/Guardian Signature/date:
Page 1: Ramsey County Community Parks and R

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?