Thank you for your interest in volunteering to serve as a Palmdale Partner (Ambassador) for the City of Palmdale. Please complete this application form. Submission of an application does not guarantee placement. Once you complete the form, click the submit button at the bottom. Space in the program is limited, once applications have been reviewed by an internal committee, selected candidates will be invited to an interview.


Contact Information


EMail

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. Please note, we only email with event information, if you elect to not receive email, you may limit your opportunities.



Reasonable Accommodations

Based on your understanding of the Program, will you require any special accommodations to apply and/or participate in the Program?



Demographics


Skills & Experience

Briefly list your previous work experience,community engagement, special skills or certifications you may possess as they relate to this position.



Personal Position


Interest in Committee

Please tell us why you wish to serve on as a Palmdale Partner and why you feel you would be a strong candidate.



Availability

Please indicate your general availability, i.e. evenings, mornings, etc.



Emergency Contact

In the event of an emergency whom should we notify?



Applicant Agreement

I certify that all statements on this application are true and complete to the best of my knowledge. I hereby authorize the City of Palmdale to investigate any information contained in this application and that such information collected will be kept confidential. I understand that false or misleading statements shall be sufficient grounds for disqualification from selection. Further, I understand that as a volunteer, I am offering my services of my own free will without expectation of compensation, benefits, or insurance of any kind.


I voluntarily agree to participate as a volunteer. I hereby waive, relate, and hold harmless from any liability or claims for damages for personal injury, including death, as well as from claims for property damage which may arise in connection with the above-named activity, against the supervisor, the City of Palmdale and its elected officials, agents and employees. I further agree to pay any and all costs incurred as a result of said treatment.



Media Release

I give the City staff permission to use my image on official documents, brochures, and videos.



I (Volunteer ) Agree

I understand and agree that submitting this application form does not automatically register me as a City of Palmdale Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


By submitting this form, I attest that the information I have provided on the form is true and accurate.


I also acknowledge that by submitting this form I agree to all agreements, releases and waivers contained herein.