Thank you for you interest in volunteering with the City of Palmdale. Please complete this application form. Submission of an application does not guarantee placement. Placement will be based upon successful completion of background process and availability of positions. Once you complete the form, click the submit button at the bottom.


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.


Reasonable Accommodations

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


Background Requirements

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.


Demographics


Skills & Experience


Emergency Contact

In the event of an emergency whom should we notify?


Volunteer 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 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.


Media Release

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


Parent/Guardian Information (for minor volunteers)

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.


I (Volunteer or Parent/Guardian) 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.