Volunteer Application
Instructions: All volunteers must complete this application prior to being considered for or beginning any volunteer work assignment. A parent or legal guardian may complete the application on behalf of a prospective volunteer who is under 18 years of age.
Name:
*
First Name
Last Name
Email Address:
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number:
Please enter a valid phone number.
Available Start Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Relationship
Phone Number
*
Please enter a valid phone number.
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Volunteer Application
Instructions: All volunteers must complete this application prior to being considered for or beginning any volunteer work assignment. A parent or legal guardian may complete the application on behalf of a prospective volunteer who is under 18 years of age.
Area of Interest
*
Special Events
Senior Programming
Preschool
Youth Soccer
Youth Basketball
Youth Dance
Other
Day of the Dead 5k
International Festival
Availability
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Volunteer Application
Instructions: All volunteers must complete this application prior to being considered for or beginning any volunteer work assignment. A parent or legal guardian may complete the application on behalf of a prospective volunteer who is under 18 years of age.
Criminal Background Disclosure
Pursuant to Public Act 100-0472, park districts in Illinois are prohibited from knowingly engaging the services of a volunteer who has been convicted of or found to be a child sex offender?
Have you been convicted of or found to be a child sex offender? Please check yes or no:
*
Yes
No
Important Information - Please Read
Volunteers and parents of volunteers agreeing to participation in volunteer activities must recognize and appreciate that there are always inherent risks of injury associated with any volunteer activities. Such risks will vary depending upon the nature of the particular volunteer activity. Please recognize that the Wheeling Park District does not carry medical/accident insurance for injuries sustained in its volunteer programs. It should be further recognized that the absence of medical/accident insurance does not make the Wheeling Park District responsible for the payment or reimbursement of medical expenses. Therefore, each person participating in volunteer activities, and/or their parents, should review their own health insurance policy for coverage.
Waiver
As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I may sustain as a result of said participation. I further agree to waive and relinquish all claims I may have (or accrue to me) as a result of volunteering in this program/activity against the Wheeling Park District, including its officers, officials, agents, volunteers and employees.
Sign here
*
Volunteer's Name
*
First Name
Last Name
Parent/Legal Guardian Name (if under 18)
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
NOTE: Volunteer participation will be denied if the Criminal Background Disclosure question is not answered. Participation will also be denied if the waiver above is not signed and dated by the volunteer or parent/legal guardian in the case of a volunteer under age 18.
Please verify that you are not a robot
*
Submit
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