Volunteer Application

* Name:    Date Available to Volunteer:

* Address:    City:    State:    ZIP:

* Email Address:    Phone Number:

* Valid Driver's License Number:    State:

* Have you ever been convicted of a felony?   No Yes
If yes, state offense, date, location, and disposition of the case below:

Educational Background (if job related)

High School:    Years Completed:    Did You Graduate?   Yes   No

College:    Years Completed:    Did You Graduate?   Yes   No
Course of Study:

Other:    Years Completed:    Did You Graduate?   Yes   No
Course of Study:

References (3 persons not related, whom you have known at least one year)

Reference 1:    Number of Years Known:    Telephone #:  

Reference 2:    Number of Years Known:    Telephone #:  

Reference 3:    Number of Years Known:    Telephone #:  

Volunteer Statement

I certify that all information I have provided in order to apply to volunteer with the District is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (I) cancel further consideration of this volunteer application, or (II) immediately discharge me from the District’s volunteer service, whenever it is discovered.

I hereby authorize Sunrise Recreation & Park District to make any investigation of my background deemed necessary, including but not limited to a criminal background check by the California Department of Justice. I authorize my references to give any information regarding my background and volunteer services. I hereby hold harmless and release them and their company/agency from all damages whatsoever for issuing same. I agree to be fingerprinted, as such proof of meeting the conditions of volunteering as may be required.

Check this box once you've read the Volunteer Statement.

* = Required