City of Alexandria Department of Recreation, Parks and Cultural Activities Volunteer Application
Please complete this application form if you are interested in becoming a City of Alexandria Recreation, Parks, and Cultural Activities volunteer. Once you complete the form, click the continue button at the bottom and someone will contact you from the department.
Name
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
*
Demographic Information
Street 1:
*
City:
*
State:
Choose
DC
DE
District of Columbia
MD
VA
Virginia
*
Zip:
*
Home phone:
*
OK to call me here
Work phone:
*
OK to call me here
Cell phone:
Email Address
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email if you prefer not to receive.
Email address:
*
What kinds of email would you like to receive?
Electronic newsletters
Recruitment appeals
Birthdate
(MM/DD: include year if under 18):
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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Year
2023
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2012
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1919
1918
*
Emergency Contact Name
First name:
*
Last name:
*
Street 1:
City:
State:
Choose
DC
DE
District of Columbia
MD
VA
Virginia
Zip:
Home phone:
Work phone:
Cell phone:
*
Email address:
*
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Partner
Son
Spouse
Supervisor
Occupational Background
Employer name:
First name:
Last name:
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Street 1:
City:
State:
Choose
DC
DE
District of Columbia
MD
VA
Virginia
Zip:
Work phone:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Partner
Son
Spouse
Supervisor
Personal reference
Employer name:
*
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
*
City:
State:
Choose
DC
DE
District of Columbia
MD
VA
Virginia
Zip:
Work phone:
*
Cell phone:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Partner
Son
Spouse
Supervisor
Indicate your interest of task/duties.
Volunteer Group
Please complete only if you are applying as a group of volunteers.
Describe your special skills and languages.
Education
Please select the highest level of education completed and the name of the school.
Education:
Choose
Associate degree
College degree
Doctoral degree
High school
Masters degree
Some college
Trade/Vocational school
School:
Are your volunteer hours required?
If yes, please use this section to provide deadline for completion, total hours needed, and who's requiring the service requirement(class, school, court-ordered, etc.)
Agreement
I certify that the information provided on this application is true and complete to the best of my knowledge, and agree that falsified information or significant omissions may disqualify me from further consideration for volunteering and if I am accepted to be a volunteer, will result in my dismissal when discovered. I understand that, if accepted as a volunteer, I will be required to abide by all of the policies, rules and regulations of the Department of Recreation, Parks, and Cultural Activities (RPCA) and volunteer program. I authorize RPCA to investigate all statements contained in this application and to make inquiries of my personal reference and volunteer history, as well as other related matters as may be necessary for arriving at a decision of acceptance into the volunteer program. I hereby release employers, schools or individuals from all liability in responding to inquiries relative to my volunteer application.
I Agree
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