Form Center

City of Victoria Volunteer Application

2. Personal Information
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Primary phone
16. Okay to call me here?

    1. Yes
18. Secondary phone
19. Okay to call me here?

    1. Yes
21. Email address
27. Volunteer Interest
29. Availability

    1. Ongoing volunteer
    2. One-time volunteer
31. Volunteer Preference

    If you are applying for a particular volunteer position, please specify.

    1. Adopt-a-Storm Drain
    2. Adopt-a-Park
    3. Document Imaging Assistant

    1. Special Event Volunteer
    2. Garden Club
    3. Victoria Spirit Contributor
33. Other volunteer preference
39. Education
41. Highest level of education:
    -- Select One --High School graduateCurrent High SchoolCollege graduateSome collegeCurrent collegeTrade / Vocational schoolGraduate schoolPh. D.
43. Provide additional relevant information on certificates, degrees or schools attended.
49. Community, Volunteer or Work Experience
51. 1
52. 2
54. Employer name
55. Employer name
57. Address 1
58. Address
60. City
61. City
63. State
64. Zip
65. City
66. Zip
68. Primary phone
69. Okay to call?

    1. Yes
70. Primary phone
71. Okay to call?

    1. Yes
73. Job duties and description
74. Job duties and description
80. References
    REFERENCES ARE REQUIRED FOR PLACEMENT. Please provide two personal, work or academic references with complete addresses.
82. 1
83. 2
85. Full name
86. Full name
88. Address
89. Address
91. City
92. City
94. State
95. Zip
96. State
97. Zip
99. Primary phone
100. Okay to call?

     1. Yes
101. Primary phone
102. Okay to call?

     1. Yes
104. Email address
105. Email address
107. Relationship
     -- Select One --ChildCo-workerEducatorFormer Supervisor/Co-workerFriendNeighborOtherOther RelativeParentSpouse/PartnerSupervisor
108. Relationship
     -- Select One --ChildCo-workerEducatorFormer Supervisor/Co-workerFriendNeighborOtherOther RelativeParentSpouse/PartnerSupervisor
114. Recruitment Source
116. How did you hear about us:

     1. City's website
     2. Family member
     3. Park & Rec Activities Guide

     1. Chanhassen Villager
     2. City Emails
     3. City staff/volunteer

     1. Facebook/Twitter/Instagram
     2. Other
     3. Victoria Spirit
120. I Agree
     I give my permission to check the references that I have listed. I certify that the facts set forth in the volunteer application are true to the best of my knowledge. I understand that any falsification, misrepresentation or concealment of information on this application may be sufficient grounds for disqualification for volunteering or immediate discharge and that the City of Victoria shall not be liable in any respect if my volunteering is so denied or terminated. I understand that I am applying for a volunteer position and that I will not be paid in any way. I understand that a background check may be required for certain volunteer positions.

     
     I understand that I will need a parent guardian permission form if I am under the age of 18.

122. TENNESSEN WARNING
     In accordance with the Minnesota Government Data Practices Act, the City of Victoria is required to inform you of your rights as they relate to the personal information collected from you. Minnesota Statutes §§ 13.04 and 13.43 are two sections that govern what affects you as an applicant for volunteering with the City of Victoria.

     
     Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Victoria during the application process or during volunteer assignments. Any information about yourself that you provide during the application and interview process will be used to distinguish you from other applicants, identify you in our program records and enable us to contact you.

     
     The following information which you will be asked to provide in this application process is considered private data: name, address, home phone number, gender and age group. Private data is available only to you and to other persons at the City of Victoria who have a bona fide need for that data. Your name is considered private information; however, if you are selected to volunteer with the City of Victoria, your name becomes public information.

     
     Public data is available to anyone requesting it and consists of all data furnished in the application process which is not designated in this notice as private data. Please note that the City does not share information gathered through its sites with third parties for promotional purposes.

     
     Although you are not legally required to supply information, if you do not supply the information requested, it may mean that your application is not considered.

124. I declare that I have read and understand the information given above regarding the Minnesota Data Privacy Act.

     1. I agree
Leave This Blank:


126. 1. Receive an email copy of this form.
127. Email address

     This field is not part of the form submission.

128. Submit

* indicates a required field