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2. Equal Opportunity Notice
   Notice to Applicants: It is our policy to offer equal opportunity to all based upon individual merit without regard to race,color, religion, national origin, sex, age, marital status, height, weight, or non-disqualifying handicap. In order to provide a pleasant, safe recreational environment, we do not condone harassment relating to a person’s race, color, religion, national origin, sex, age, marital status, height, weight, or non-disqualifying handicap.
4. Drug Free Environment
   We prohibit the use, distribution, sale, or possession of alcoholic beverages, drugs and controlled substances (except for the use of legitimately prescribed medication pursuant to a physician’s order) while volunteering or on our premises. We prohibit volunteering while under the influence of alcoholic beverages, drugs or controlled substances. Please complete the entire application. Incomplete and/or unsigned applications will not be processed.
6. Volunteer Background Check Policy
   Policy
8. First Name*
9. Middle Initial*
10. Last Name*
12. Street Address*
13. Daytime Phone*
15. City*
16. State*
17. Zip*
19. Email*
20. Mobile Phone
22. Have you ever been arrested for a felonious crime or been convicted of a crime?*

    1. Yes
    2. No
24. Explanation
    If yes, provide a full explanation
26. Are you over the age of 18?

    1. Yes
    2. No

    Some volunteer positions will require the applicant to be over the age of 18.
28. How did you hear about our volunteer opportunities?
30. Why are you interested in volunteering for the East Grand Rapids Parks and Recreation Department?
34. What event or program would you like to volunteer for and what capacity?*
36. Coaching or related experience for the postion which your are applying
38. Have you volunteered with our department in the past?

    1. Yes
    2. No
40. Volunteer Opportunities and Contacts
    Please find the position, sport or event you would like to volunteer for and submit to the contact listed below.
42. Youth Football, Youth Baseball & Softball, Rhoades McKee Reeds Lake Triathlon Duathlon, Mom & Son Night

    1. Pam Slater
44. Youth Soccer, Youth Lacrosse, Flag Football, Middle School Coaching, Reeds Lake Run Kids' Races

    1. Shannyn Fasbender
46. Aquatic Programs

    1. Betsy Granstra
48. Youth Basketball, Reeds Lake Run, Sweetheart Dance

    1. Rachel Seese
50. Grounds Maintenance, Parks - Conservation - Invasive Species Volunteer

    1. Grounds Maintenance
52. Certification
    I certify that all of the information furnished on this Application is true, complete and correct. I understand and agree that any falsification, misrepresentation, misleading statement or omission of fact on this Application will be sufficient reason for my not being offered a volunteer position with the City or dismissal at any time from the City of East Grand Rapids.
54. I authorize all third parties to provide the City with any information regarding my personal background, and I release all parties from any liability which may result from furnishing such information. In this regard, I agree to permit the City of East Grand Rapids to conduct any background investigative procedures, including, reference and criminal history check.
56. I also understand and agree that my volunteer position is for no definite period of time and may be terminated at any time by me or the City with or without cause or notice. I acknowledge that no City representative has either the power or the authority to make any representations or agreements contrary to any of the foregoing, unless that agreement is in writing and signed by the City Manager of the City of East Grand Rapids.
58. I understand that all information submitted to the City of East Grand Rapids is considered public information and subject to disclosure under the Freedom of Information Act.
60. Signature*

    1. Applicant signature check box
62. Signature by parent or guardian

    1. If under the age of 18 a parent or legal guardian must give consent by checking this signature box
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field