Please complete this application form if you are interested in becoming a Collier County Parks & Recreation volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

First name:

Last name:

Middle name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Email address:

Do you possess a Valid Driver’s License:

If Yes, Issued by what State:

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.

Date of birth:

(year optional)

Gender:

Education:

Service Preference and Availability

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

Please Answer the Following Questions Truthfully

Note: Affirmative answers to the above questions do not constitute an automatic bar to becoming a volunteer. Provide all the facts so that an informed decision may be made. An intentional omission or falsification of answers either verbally or in writing may result in no consideration or termination of service.

Question 1

Have you ever been convicted, found guilty, entered a nolo contendre/no contest plea, or had adjudication withheld in a criminal offense (please answer yes only for felony or first-degree misdemeanor offenses in the state of Florida, or their equivalents in other states)?

Type Yes or No in the comment section, If yes, please explain:

Question 2

Within the last three (3) years, have you had three (3) or more: at-fault accidents; moving violations in any vehicle; citations for failure to wear a seatbelt or equipment violations?

Type Yes or No in the comment section, If yes, please explain:

Question 3

Are there any felony or first-degree misdemeanor criminal charges currently pending against you, other than non-criminal traffic violations?

Type Yes or No in the comment section.

Education

Please indicate your Highest Level of Education in the comment box below. Ex: High School and Grade, College and Year or GED.

Employment

(If not currently employed, then use most recent employer)

Employer name:

Street 1:

Street 2:

City:

State:

Zip:

Work phone:

Personal References

(Excluding Former Employers and Relatives)

1

2

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Cell phone:

Relationship:

3

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Cell phone:

Relationship:

Emergency Contact Information

1

2

First name:

Last name:

Street 1:

City:

State:

Zip:

Cell phone:

Relationship:

Why are you interested in volunteering with us

Please include a brief reason why you would like to volunteer with us.

Volunteer Applicant’s Certification and Agreement

Please Read Carefully Before Signing

I UNDERSTAND and agree that, except as specifically prohibited by State law or County ordinance or regulation, all County policies and procedures do not create any property rights in employment; and that services as a volunteer may be terminated by either the volunteer or the County at any time with or without cause.

I CERTIFY that all information given on this volunteer application, related volunteer papers and all interviews are true and correct. I understand that the County may make a thorough investigation of my character, reputation, past employment and medical history. I authorize the giving and receiving of any such information requested by the County (including financial and credit records) and hereby relieve and release all former employers and their agents of any liability for any information they may give to the County. I hereby waive any rights or claims I may have whether present fully developed or not against Collier County and its agents and employees arising out of or resulting from the release, authorized or unauthorized, of the following information received pursuant to or in connection with the County’s handling, processing, investigating, etc., of my application to volunteer for the County.

I UNDERSTAND the definition of “volunteer” as delineated in Fla. Stats. § 125.9501(1). I also understand that, as a volunteer, I am not entitled to unemployment compensation.

I AGREE that if Collier County uses my services, a future potential employer may contact the County or its representatives concerning my volunteer service record and my performance at the County. I hereby consent to and authorize persons employed by the County to divulge any and all information they consider relevant to any person representing themselves to be an employer or potential employer of mine with respect to my service record and/or performance of my assignments at Collier County. I understand that all information provided herein is public record and is subject to review upon request.

I AGREE to submit to testing to determine the presence or absence of alcohol or illegal controlled substances in my body under whatever legal policies or procedures Collier County has in effect on the subject at the time testing is required. I further understand that failure to meet any task-related medical and/or health requirements for the assignment may prevent being accepted as a volunteer by the County.

I UNDERSTAND that, should I be offered a volunteer assignment with Collier County, I may be asked to provide photo identification and my Social Security Number. The Agency will use the Social Security number for the purpose of completion of required background screenings.

I UNDERSTAND that volunteers do not have a written contract and that volunteers are accepted at the will of the County and that acceptance as a volunteer is contingent upon successful completion of all background investigations; which may include, but are not limited to, employer and non-employer references and, where applicable, pre-volunteer testing.

I UNDERSTAND that volunteers are prohibited from using information not generally available to the public and obtained by reason of their volunteer assignments for the personal benefit of themselves or others.

I UNDERSTAND that Collier County will not tolerate sexual and other forms of unlawful harassment. I understand that I have the affirmative obligation to report it. I also understand that unlawful harassment is grounds for disciplinary action up to and including immediate dismissal.

I UNDERSTAND that failure to abide by department work rules or administrative practices are grounds for disciplinary action up to and including immediate dismissal of my services.

I UNDERSTAND that falsification of any information provided or other non-disclosed information discovered as a result of a background investigation may subject me to immediate dismissal.

I AGREE that should I become a volunteer of Collier County, upon termination of my volunteer services, I shall return all County property.

*NOTE: The Provisions of the Fair Credit Reporting Act may be applicable if a credit report on the applicant is obtained and considered.

By clicking I Agree, you understand and agree to all the terms listed above.

I Agree