Volunteer Form for assistance in Phase 1 Archaelogical Study

Volunteer Form for assistance in Phase 1 Archaelogical Study

Name, last, first *
Street address *
City, State and Zip Code *
Date of Birth and age now *
Drivers license number *
Social Security number *
In case of emergency, contact *
Their phone number *
Reference name & phone number *
Reference name & phone number *
Reference name & phone number *
Have you ever been charged with or convicted of a first degree misdemeanor or felony in any state or country? *	Yes No
Have you ever been charged with or convicted of child abuse, molestation or a sex offense? *	Yes No
If you answer yes to either question, please list the dates and jurisdictions of prior arrests or convictions, *
Name of park at which you wish to volunteer. *
What months are you available for service? *
What days of the week do you prefer?
A.M. or P.M. shift *
How many hours per week will you contribute? *
Volunteers are not considered as employees of the State of Florida. Volunteer hours may be applied towards community service credits or as work experience when applying for a state position. Volunteers are covered by state liability protection (Chapter 768.28 FS) and by workers compensation (Chapter 440 FS). No other benefits or collective bargining agreements shall apply. Volunteers shall comply with all applicable department and agency rules. This agreement may be cancelled at any time following notice by either party. Upon termination of this agreement, all uniforms, ID Cards, and other park-supplied property shall be returned. By checking the 'yes' answer, I hereby accept and agree to the terms and conditions cited herein and authorize the Division of Parks and Recreation to conduct a criminal history background check on me at any time during my service as a volunteer. *	Yes No
My email address is *