Youth Volunteer Application
Please complete the application form, including a valid phone number, if you are 12 to 17 years of age and interested in becoming a City of Novi volunteer. Check the "I Agree" button when finished.
Contact Information
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
*
Street 1:
*
Street 2:
Street 3:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Home phone:
OK to call me here
Work phone:
OK to call me here
Cell phone:
*
OK to call me here
Email address:
*
Demographic Information
You may optionally provide the following information if not required.
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
Age:
*
Current Grade:
Choose
Eighth Grade
Eleventh Grade
Ninth Grade
Seventh Grade
Sixth Grade
Tenth Grade
Twelfth Grade
*
What year will you graduate high school:
*
Name the school you currently attend
Areas of Interest
Check all that apply.
*
Areas of Interest:
Sports/Assistanct Coach - Softball
Sports/Assistant Coach - Baseball
Sports/Assistant Coach - Basketball
Sports/Assistant Coach - Floor Hockey
Sports/Assistant Coach - Soccer
Sports/Assistant Coach - Volleyball
Emergency Contact
First name:
*
Last Name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
*
Street 1:
*
Street 2:
Street 3:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Home phone:
OK to call here
Work phone:
OK to call here
Cell phone:
*
OK to call here
Email address:
*
Relationship:
Choose
Brother
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Other
Sister
Son
Spouse
Supervisor
*
Agreement and Authorization
My parent(s)/legal guardian(s) are aware I am submitting an application to the City of Novi to volunteer my services with no monetary compensation or benefits.
I understand I am not a City of Novi employee. I further understand the City of Novi is not obligated to accept my offer of volunteering service to the City of Novi. The City of Novi reserves the right to terminate my volunteer service at any time. I have read the Volunteer NOVI Guidebook and Policies. I will adhere to the policies and procedures of the City of Novi.
I authorize criminal background checks, search of sex offender registry, and Department of Motor Vehicle checks as deemed necessary by the City of Novi. I authorize investigation of any matter contained in the application. I understand the City of Novi requires all volunteers under the age of 18 to submit a Volunteer Parent Permission Form found under Volunteer NOVI Guidebook and Policies page upon confirmation of assignment. I further understand the application is open for public inspection upon request.
I understand as a volunteer I am NOT covered under the City of Novi’s Workers’ Compensation Policy for any injury or accident sustained during my volunteer assignment. I understand I am to report any injury or accident immediately to my supervisor. I further understand any medical costs or other costs incurred as result of incident will be our responsibility. I further understand if I fail to report the injury or accident immediately to my supervisor I may be released from my current volunteer assignment and may be Ineligible for any assignment in the future.
I give the City of Novi permission to use, publish and republish, without compensation or obligation to me any photographs, videos or other media now in existence, which may be developed for future use along with reproduction of my likeness taken during my volunteer service to the City of Novi.
I declare under penalty of perjury all statements made in this application are true and correct of my own personal knowledge.
I Agree
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