Individual Volunteer Application

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Please correct the field(s) marked in red below:

Complete this form if you wish to volunteer with the City of Olathe as an individual.

Complete the Group Volunteer Application if you are a sponsor or coordinator for a group of volunteers.

All information provided on this application is stored on a secure site.  

Results of any background investigation are under the control and security procedures of the Olathe Human Resources. 

Fields marked with a red asterisk (*) are required.

Please do not use commas (,) when completing this application 

1
Tell us about yourself.
 *
Tell us about yourself.
2
Where do you want to volunteer? Asterisk (*) indicates you must be 18 years of age.
Where do you want to volunteer? Asterisk (*) indicates you must be 18 years of age.
3
What are your volunteer interests?
 *
What are your volunteer interests?
4
When are you available to volunteer?
 *
When are you available to volunteer?
If you are under 18 years, a Volunteer Release must be completed and signed by your parent or legal guardian.  The release must be submitted prior to the volunteer activity.
5

Are you 18 years old or older?

Are you 18 years old or older?
6
What is your preferred method of contact?
 *
What is your preferred method of contact?
7
When can we contact you?
 *
When can we contact you?
8
Have you volunteered with the City of Olathe before?
 *
Have you volunteered with the City of Olathe before?
9
In what area or activity did you volunteer with the City of Olathe?
10
Tell us about other organization(s) where you have volunteered.
Tell us about other organization(s) where you have volunteered.
11
Tell us about your employment.
Tell us about your employment.
12
What are your special skills?
 *
What are your special skills?
13
Do you need special accommodations?
Do you need special accommodations?
14
 Please describe the special accommodations you require.
15
Who is your first reference?
 *
Who is your first reference?
16
Please provide contact information for your first reference.
 *
Please provide contact information for your first reference.
17
Who is your second reference?
 *
Who is your second reference?
18
Please provide contact information for your second reference.
 *
Please provide contact information for your second reference.

You are afforded the opportunity to accept or decline medical treatment and accident insurance coverage provided by the City of Olathe.  

This coverage shall be your sole and exclusive remedy in the unlikely event of injury or illness.

You are encouraged to have a current Tetanus vaccination. 

19
Do you want to accept or decline medical treatment and accident insurance coverage provided by the City of Olathe?
 *
Do you want to accept or decline medical treatment and accident insurance coverage provided by the City of Olathe?

Your agreement to the following statement is required to submit this application.

Additional documentation may be required after you submit this application.

I agree not to consume, use possess, or be under the influence of any drug or alcohol product(s) while I am volunteering for the City of Olathe.

I understand that any conduct or pattern of conduct that would tend to disrupt, diminish, or otherwise jeopardize public trust in the City of Olathe will result in my dismissal.

I understand that depending upon the nature of the volunteer assignment, the City of Olathe may deem it necessary to obtain my driver's license record and/or process a criminal background check.

I consent to the City of Olathe to make a request(s) for my driver's license record and/or  process a criminal background check on me.

I release, relinquish, and remise the City of Olathe, its employees, agents and representatives from any and all causes of action or liability which I may have or which arise out of, or as a result of, the reports herein authorized.

Furthermore, I understand that my failure to execute this informed consent will result in my not being further considered for employment or volunteerism.

I understand that my volunteer assignment with the City of Olathe may be terminated at any time. Reasons for termination may include, but are limited to, anything that might be present on my driving record or criminal background check or termination of the volunteer program.

I acknowledge that volunteer photographs may be taken for possible use in: news releases, internal publications, promotional and educational materials.

I understand that I may be asked to perform any type of volunteer work that is needed unless I specifically indicate my desire to work with certain animals, perform certain tasks, or volunteer in certain areas as indicated on this application.

To the best of my knowledge I have answered everything on this application truthfully and have not given any information intended to deceive or commit fraud or made any false statement that might be construed as such.

I understand that this application will be kept on file for one year.

20
Do you agree?
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.

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