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AREAS OF INTEREST
Please check one or both
Please indicate the area or department for which you are interested
Parks and Recreation Department
Police Explorer Program
Victim Assistance Unit
I am looking to fulfill the internship requirements for my degree
How did you become interested in our volunteer program?
Which days of the week are you available? Check all that apply:
Are you available in the morning, afternoon, or evening? Check all that apply:
How many hours per week would you like to volunteer?
What is your highest education level?
High School Diploma or equivalent (GED)
Bachelor's degree or higher
Volunteer Experience: List any previous volunteer experience.
SPECIAL SKILLS OR QUALIFICATIONS
List any special skills or qualifications you have acquired from employment, previous volunteer experiences, or through other activities.
Volunteers and interns must satisfactorily complete a background examination prior to assignment.
ACKNOWLEDGEMENT AND SIGNATURE
I acknowledge that I am seeking to volunteer for the City of El Mirage. This is an uncompensated, entirely volunteer opportunity initiated by my own interest to perform volunteer activities without expectation of compensation for services and/or time rendered. Initial:
I certify that the information on this form is true and complete to the best of my knowledge. Omissions or misstatements of facts may be cause for rejection of this application or dismissal from the Volunteer Program. I authorize the City of El Mirage to make all necessary and appropriate investigations to verify the information concerning my volunteer service. It is my responsibility to keep the Human Resources Department advised about any changes of address or phone number. Initial:
If you are under 18, please note that an underage waiver must be signed by your parent or guardian prior to volunteering. Initial:
Applicant Signature (Type Name)
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