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.

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

As part of the selection process applicants will be required to pass a livescan fingerprint submission via the California Department of Justice. The information collected during this background check will be limited to that appropriate to determine suitability for particular types of volunteer work and such information collected during the check will be kept confidential.

In the event of an emergency whom should we notify?

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 i investigate any information contained in this application. I understand as part of the final selection process I will be required to pass a livescan fingerprint scan submission via the California Department of Justice. I understand that information collected during this background check will be limited to that appropriate to determining my suitability for particular types of volunteer work and that such information collected during the final check will be kept confidential. I understand that false or misleading statements shall be sufficient grounds for disqualification from the City's Volunteer Program. 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, or for my child to participate in this program. 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, gents, and employees. As parent/guardian, I hereby consent to treatment of my minor child for any and all medical procedures, deemed necessary, as a result of accident or injury. I further agree to pay any and all costs incurred as a result of said treatment.

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

If you are under the age of 18, please list the Parent/Guardian with authorization to approve this application and whose approval is implied for any and all agreements, releases and waivers contained herein.