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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
25. Volunteer Interest
27. Availability

    1. Ongoing volunteer
    2. One-time volunteer
29. 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
31. Other volunteer preference
35. Education
37. Highest level of education:
    -- Select One --High School graduateCurrent High SchoolCollege graduateSome collegeCurrent collegeTrade / Vocational schoolGraduate schoolPh. D.
39. Provide additional relevant information on certificates, degrees or schools attended.
43. Community, Volunteer or Work Experience
45. 1
47. Employer name
49. Address 1
50. City
52. State
53. Zip
54. Primary phone
55. Okay to call?

    1. Yes
57. Job duties and description
59. 2
61. Employer name
63. Address
64. City
66. State
67. Zip
68. Primary phone
69. Okay to call?

    1. Yes
71. Job duties and description
75. References
    REFERENCES ARE REQUIRED FOR PLACEMENT. Please provide two personal, work or academic references with complete addresses.
77. 1
79. Full name
81. Address
82. City
84. State
85. Zip
86. Primary phone
87. Okay to call?

    1. Yes
89. Email address
90. Relationship
    -- Select One --ChildCo-workerEducatorFormer Supervisor/Co-workerFriendNeighborOtherOther RelativeParentSpouse/PartnerSupervisor
92. 2
94. Full name
96. Address
97. City
99. State
100. Zip
101. Primary phone
102. Okay to call?

     1. Yes
104. Email address
105. Relationship
     -- Select One --ChildCo-workerEducatorFormer Supervisor/Co-workerFriendNeighborOtherOther RelativeParentSpouse/PartnerSupervisor
109. Recruitment Source
111. 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
115. 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.

117. 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.

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

     1. I agree
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121. 1. Receive an email copy of this form.
122. Email address

     This field is not part of the form submission.

123. Submit

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