Volunteer Service Application

Application for Volunteer Service for the City of Richland Center

Applicant Information
(Last, First and Middle Initial)
(Street, City, State, Zip)
Is this for a service project? *
Check Education *
Do you have a valid Wisconsin Driver's License? *
Emergency Contact Information
When would you be available?
5 hour shift / 10am-3pm
Read the following before submitting:
I certify that the information included in this application is true, complete and correct to the best of my knowledge and belief. I understand that my volunteer service is conditional upon completion of a background check. I understand that in the event I am issued or checked out a key and I do not return that key, I will be responsible for reimbursing the City for the replacement of the locks and new keys that need to be made.
(Please type your full name to indicate your understanding of the terms and conditions of this application)
Please note:
*Volunteers must be 18 years or older unless authorized by a parent or legal guardian to volunteer. *As an Equal Opportunity Employer, the City intends to comply fully with all Federal and State Laws that prohibit bias in regard to race, color, religion, national origin, sexual orientation, age, sex, or disability. The information requested on this application will not be used for any purposes by law.