Volunteer Application

Recreation Forms & Documents

March 30, 2017

PDF
25 KB

Download Preview

Please fill out this application for all volunteer opportunities.

Position Applying For * Required
- Live Wire Volunteer
- Leader in Training Volunteer
- Other
Date of Application - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Name * Required
First Middle Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Cell Phone
Home Phone
Are you 18 years or older? * Required
- Yes
- No
Have you ever been convicted of any violations of the Law, excluding traffic violations and Health and Safety Code sections 11357, 11360, 11364, 11365 or 11550 related to marijuana prior to 01/01/1976? A conviction is not necessarily a bar to employment. Each case will be given individual consideration, based on relevance to the position. * Required
- Yes
- No
If yes, explain
Education and Training
High School Graduate? * Required
- Yes
- No
High School Equivalency? * Required
- Yes
- No
Name and Location of High School
Name and Location of College
Degree/Certificate
Date You Received Your Degree - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Name and Location of Graduate School
Degree/Certificate
Date You Received Your Degree - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Other Job Related Skills
Computer Programs
Languages Spoken/Written
Volunteer or Employment History
Starting with the present or most recent experience, provide the following information for all employment during the past 10 years. You may attach a resume or a supplemental sheet, but this section must be completed. Include volunteer employment, if applicable.
Employer or Volunteer Organization
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Supervisor
First Last
Dates Worked or Volunteered
Job Duties and Responsibilities
Reason for Leaving
Employment/ Volunteer History cont.
Employer or Volunteer Organization
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Supervisor
First Last
Dates Worked or Volunteered
Job Duties and Responsibilities
References
Please list the name and contact information of a former employer, teacher, instructor, mentor or family friend. Please do not list family members.
Name
First Last
Phone
Email
Relationship to you
Name
First Last
Phone
Email
Relationship to you
File Upload
Please feel free to upload any additional information. I.E. resume, cover letter, letters of recommendation, certificates, etc.
File
Drop files here or
Emergency Contact Information
Name
First Last
Relationship
Home Phone
Work Phone
Cell Phone
Medical Conditions
- Yes
- No
Are there any health conditions or medications that we should know about in case of emergency?
If yes, please explain
Fingerprints
The Town of Colma is required by law to have all individuals age 18 years and older, working in a position that is sensitive (involving children or confidential material) to be fingerprinted. If you have registered to volunteer in any of these areas, the following steps must be followed before you will be allowed to volunteer. We hope that this will not be too great of an inconvenience. We are sure you understand the importance of this law. If you have any questions, please contact the Recreation department. When filling out the fingerprinting card, be sure to use only BLACK ink and clearly print all personal information. Please contact the Colma Police Department at 997-8321 to schedule an appointment for Livescan fingerprinting.
CERTIFICATION OF APPLICANT
The Town of Colma will provide the Volunteer the following: * Training and orientation to allow the volunteer to meet the responsibilities of his/her position. * Letter of reference (upon request). * Worker’s Compensation benefits in case of injury. * Must be a registered volunteer with the Town and must regularly submit time cards . * The same respect given to paid Town staff and deference given to a valuable Town asset . * Ongoing evaluations and feedback. As a Volunteer for theTown of Colma agree to the following: * Perform my duties to the best of my ability. * Regular and prompt attendance. I will notify my supervisor as soon as possible when unable to work. * Record hours on a daily time card and submit them to the Recreation Department at the end of each month. * Observe policies and procedures of the Town and the department where assigned .
(Carefully read before signing): I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this application in any detail is grounds for disqualification or dismissal from employment or volunteering. I agree to conform to the rules and regulations of the Town of Colma. I consent to inquiries regarding my past employment. I further understand that I may be fingerprinted, required to submit to a complete medical and/or psychological examination. I release all parties and persons connected with any request for information from all claims, liabilities and damages for whatever reason arising out of furnishing this information. DISABLED APPLICANTS: The Human Resources Office may have resources to assist you in the exam process. If you have special needs, please call (650) 997-8300. EOE
Signature
Minors Release
I herby give permission for my child to participate in Colma’s Volunteer Program. I understand that he/she is working on a voluntary basis and there exists no employment relationship between my child the Town of Colma. I further agree to hold harmless the Town of Colma in regard to any personal injury sustained by my child during the time he/she is engaged in the voluntary activities with the Town.
Parent/Guardian Name
First Last
Parent/Guardian Signature

Documents and forms

Volunteer Application

Education and Training

Other Job Related Skills

Volunteer or Employment History

Employment/ Volunteer History cont.

References

File Upload

Emergency Contact Information

Fingerprints

CERTIFICATION OF APPLICANT

Minors Release