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Volunteer Application

  1. Winooski

  2. City of Winooski Volunteer Application

  3. Applicant Information

  4. Please check which program you’d like to volunteer with:*

  5. Legal Name

  6. Are you volunteering to complete a community service requirement? *

  7. If yes, for

  8. Emergency Contact Information

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

  10. 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 (1853 Piedmont Rd Ste 100 Marietta GA 30066 / Tel: 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.

  11. 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.*

  12. Leave This Blank:

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