City Of White House Volunteer Application Form printable pdf download

City Of White House Volunteer Application Form

City of White House Volunteer Application

The City of White House is an equal opportunity employer and considers volunteers without regard

to race, religion, gender, national origin, age, disability or any other legally protected status.

Volunteer Position(s): _________________________________________________________________

Name ________________________________

Social Security Number _______________________

Street Address _______________________________________________________________________

City ______________________________ State _______________________ Zip Code ___________

Telephone Number(s) __________________________________________________________________

Email Address ________________________________________________________________________

Are you at least 18 years of age? *

Yes ___

No ___

Are you related to a current COWH employee?

Yes ___

No ___

If yes, give name and relationship: ________________________________________________

Have you ever been employed by the COWH?

Yes ___

No ___

If yes, give dates of employment: _________________________________________________

Have you ever been convicted of a crime, had adjudication of a crime withheld or pled nolo

contendere (no contest) to a crime?

Yes ___

No ___

If yes, please explain: ___________________________________________________________

References:

Name

Telephone Number

Years Known

Emergency Contact Information:

Name: ________________________

Relationship: ________________ Phone (

)_____________

City Of White House Volunteer Application Form