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Instructor / Volunteer Application

  1. Veteran of the U.S. Military Service?
  2. Have you ever been convicted of a crime?
  3. Have you ever been acquitted or found not guilty of a criminal offense involving sexual conduct, murder, assault, or any other crime involving violence?
  4. Job Experience (Please Begin With Most Recent)
  5. References (Not Included in the Above)
  6. Education
  7. Signature Agreement
    I certify that, to the best of my knowledge and belief, all statements made herein or attached hereto are true, complete, and accurate. I understand and agree that any incorrect statements or omissions of material facts herein may cause forfeiture on my part of all rights to contracting/volunteering with the City of Quincy Parks & Recreation Department. I consent to a background investigation conducted by the City of Quincy to include criminal history, driving record, current and past employers and personnel files, as well as all information described in RCW 43.43.830-.839 (which provisions are incorporated into this application), and authorize the City of Quincy to investigate any of the information provided by me. I waive any right of privacy I may have in such information for the limited purpose of the City considering it for determining my suitability as a Volunteer and further waive any right to inquire as to the contents of, or obtain copies of, the material secured as a result of such investigation. I also authorize the previous employers, persons, and references named or any other person or entity named to give any and all information regarding employment, scholastic records, together with all other job related information that may or may not be on record. I release the City of Quincy and their officers and employees, and all other individuals or entities who provide information to the City of Quincy from all liability resulting from the release and use of such information.
  8. Signature
  9. Leave This Blank:

  10. This field is not part of the form submission.