CITY OF LIVE OAK VOLUNTEER APPLICATION
An Equal Opportunity / Affirmative Action Employer
Last Name
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First Name
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Middle Initial
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Driver's License Number
Email
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Position(s) Applied:
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Animal Control Advisory Committee
Dangerous Structure Determination Board (DSDB)
Economic Development Corporation
Ethics Review Board
Parks & Recreation Commission and Tree Care Board
Planning & Zoning Commission
Visit Live Oak Advisory Board
Zoning Board of Adjustment
Dates of Availability:
Have you ever been employed with the City?
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Yes
No
If yes, date of employment:
Are you or your spouse related to any employees of the City of Live Oak:
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Yes
No
Last School Attended: (Name of School and Dates Attended)
Special Skills:
Have you ever been convicted of a felony or other crime:
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Yes
No
If yes, date:
Brief explanation:
Reference: (Please include name, address, e-mail and telephone number of reference)
I certify that the statements and information contained herein are true, complete, and correct to the best of my knowledge, I understand that the information will be used only for the purpose of evaluating my application for volunteer service. In addition, I understand that, if selected for an interview, copies of all degrees, certificates, or licenses listed on this application may be required before a decision can be made. A photocopy of this authorization shall be as valid as the original.
I understand and agree that volunteering for any volunteer position will be contingent upon my satisfactorily passing a drug and alcohol test. Further, I understand and agree that, if approved for a volunteer position, despite an expiration of term of office and/or a nonspecific period of time (firefighters / reserve police officer) that I may be terminated at will, and that any intentional misrepresentation on my volunteer application during the interview process will subject me to immediate release from volunteer service.
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I confirm that I have reviewed and understand
Sending Name
Sending Email
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Submit
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