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City of Lafayette


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Volunteer Application

Please complete this application if you are over 18 years of age. If you are under 18 years of age, please complete the pdf version.
 
* First Name: 
* Last Name: 
* Address: 
* City/State: 
* Zip Code: 
Phone (day): 
Phone (evening): 
Email: 
Volunteer job (1st choice): 
Volunteer job (2nd choice): 
Volunteer job (3rd choice): 
Groups you want to serve:
Preschoolers Elementary-aged children Teens Adults Seniors 
Days available:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday 
Hours available: 
Tell us your previous volunteer experience:
 
Describe your education, skills and interests:
 
1st reference (name): 
2nd reference (name): 
Phone (day): 
Phone (evening): 
Phone (day): 
Phone (evening): 
Relationship: 
Date of Birth 
Driver's License Number 
Relationship 
 
Depending upon the volunteer position sought, a person may or may not have a background check performed. Please provide your birth date and Driver's License number below if a check is to be performed. I certify that all of the information provided in this application is true and complete. I give permission to the City of Lafayette to publish the likeness or image of me. I release all claims against the City with respect to ownership and publication for the images or likeness taken including any claim for compensation related to the use of said materials.
 
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