Please read all of the below carefully and sign
I hereby certify that all statements made on this Volunteer Application are true and correct to the best of my knowledge and understand that falsification of any information will immediately disqualify me (applicant) for consideration.
As applicable for many City volunteer positions, by submitting this application, I authorize inquiries to be made concerning my employment, character and police record (including police criminal history record request), for the purpose of determining my suitability as a volunteer. All information will be held in the strictest confidence.
Criteria used in the selection of volunteers will be such as to ensure the individual is able to meet the responsibilities required for the volunteer position. No individual will be rejected on the basis of race, color, religious creed, national origin, sex, sexual orientation, age or marital status.
GENERAL VOLUNTEER HOLD HARMLESS STATEMENT
VOLUNTEER STATUS/INSURANCE: I understand and acknowledge that while participating as a City Volunteer, I am not an employee of the City of Virginia Beach. I am not entitled to any employee or other benefits from the City of Virginia Beach such as health or accident insurance, workers’ compensation benefits, or compensation. I understand it is my responsibility, if desired, to provide my own health, disability, liability or accident insurance to cover my claims or damages from any injury, illness, death or property damage I suffer while performing volunteer work for the City of Virginia Beach.
ASSUMPTION OF RISK: I am aware that participating as a volunteer in the City of Virginia Beach may involve certain risks, dangers, and hazards, including, but not limited to, possible injury, infection or loss of life in certain assignments such as those that involved the use of lawn care equipment, picking up dangerous debris (e.g., broken glass, needles, metal objects), working in roadways and disturbing bees, wasps, snakes, or other potentially dangerous animals. I freely accept and fully understand and assume all risks and dangers on my behalf or on the behalf of my minor child that may arise out of or result from participating as a City Volunteer.
CONFIDENTIALITY AGREEMENT: As a volunteer of this organization, I understand that I may have access to confidential information, both verbal and written. I understand the City Department I volunteer with will advise me what information is confidential and understand, and agree, that all such information identified to me as confidential is to be treated confidentially and discussed only within the boundaries of my volunteer position at this organization. I also agree not to discuss these same matters after I have terminated my participation as a City Volunteer.
RELEASE: By signing this agreement and volunteering for the City of Virginia Beach, I hereby fully and forever release and discharge the City of Virginia Beach and its volunteers, employees and agents from any claims, demands, damages, rights of action or causes of action present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of my participation. I hereby represent and certify that I have read the foregoing, fully understand the meaning and effect thereof and agree to the terms herein.
Please understand that this submitted application with your electronic signature below, you agree to all of the above as stated.
