Please complete this application form if you are interested in becoming a City of Suffolk volunteer. Once you complete the form, click the submit button at the bottom.


Name and address


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Availability

Please indicate the days and times you are usually available to volunteer.



Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Professional Experience


Skills


Areas of Interest

Please select any areas of interest and any preferences that you have for placements.



Emergency Contact


References


Parent/Guardian Consent (if applicant is under 18)

If you are the parent or guardian of the applicant, please verify your contact information below. By completing this section you are verifying that you are the parent/guardian of the applicant listed above and that you are submitting the application on their behalf.



Waiver and Release

By clicking submit button, I agree that I am at least 18 years of age and that I agree to the following conditions:


I agree that if this application is being submitted for a youth volunteer, that I am the parent/guardian of the participant listed on this application.


I certify that the answers given herein are true and complete to the best of my knowledge without consequential omission of any kind whatsoever. I agree that the City of Suffolk shall not be liable in any respect if I am disqualified from volunteering because of the falsity of statements, answers or omissions made by me in this application.


I consent to any substance abuse and/or criminal background investigation which may be required for the position which I am applying.


Consent to Photographs:

I understand that photographs may be taken of me at any City of Suffolk program or facility for publication in material used to promote the City of Suffolk, it's programs, or events.


Waiver and Release:

In consideration of being permitted to participate in any way as a volunteer of the City of Suffolk, I for myself, my heirs, personal representatives or assigns, do hereby release, waive, and forever discharge the City of Suffolk, its Council members, officers, employees and agents for liability from any and all claims, demands, rights and causes of action of whatever kind resulting in, but not limited to, bodily injury, personal injury, accident or illness (including death), and property damage sustained by me, my agents, employees, or family members arising from participation as a volunteer for the City of Suffolk.


Idemnification:

I shall idemnify and hold harmless the City of Suffolk, its Council members, officers, employees and agents from and against any and all claims, losses, damages, fines, penalties, suits and costs, including injury and death penalties imposed by any authority which arise out of any violation of law by, and all acts and omissions caused by me, my employees, subcontractors, agents, or representatives while participating as a volunteer for the City of Suffolk.