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Volunteer Application

  1. First, Middle, Last

  2. Note:

    If your application is approved, you will need to provide a social security number for an I9 form later during the onboarding process. 

  3. Are you volunteering to complete a community service requirement? *
  4. If yes, for
  5. Emergency Contact Information
  6. First, Middle, Last

  7. What skills make you a good fit for this position? Please list any pertinent skills, experience, and interests. *
  8. Agreement

    I understand and agree that submitting this application form does not automatically register me as a City of Winooski volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. Volunteers younger than 18 years of age are considered minors and must have a parent or legal guardian agree to these volunteer terms by checking the box (below). By submitting this form, I attest that the information I have provided on the form is true and accurate.

    I hereby authorize the City of Winooski and its designated agents and representatives to conduct a criminal background check causing an investigative report to be generated for volunteer purposes. I understand that this background check will be processed through one or both the following entities: 

    • Vermont Crime Information Center 45 State Drive Waterbury, VT 05671-1300 Tel: 802 244 8727
    • Southeastern Security Consultants Inc (SSCI). 1853 Piedmont Rd Ste 100 Marietta GA 30066 866-996-7412 

    I understand that the scope of the report generated may include, but is not limited to the following areas: 

    • verification of social security number and/or birth date
    • current and previous residences
    • employment history
    • civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions,
    • driving records
    • and any other public records
  9. By clicking yes, I hereby agree to the statements above and attest that all information provided by me is true and correct to the best of my knowledge.*
  10. Leave This Blank:

  11. This field is not part of the form submission.