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2. 
3. City of Tavares Volunteer Application
   201 E. Main Street, Tavares, FL 32778 Telephone (352)742-6264 Fax (352)742-6351 Email: ApplyToday@tavares.org
5. First Name
6. Last Name
8. Address1*
10. Address2
12. City*
13. State*
14. Zip*
16. Phone Number
17. E-Mail address
21. Are you at least 16 years of age?*

    1. Yes
    2. No
22. What is your education level?*

    1. High School (currently a student)
    2. High School Diploma
    3. Bachelor's Degree
23. Other (please explain)
27. Have you ever been convicted or plead guilty or no contest to any criminal violation of law in the past 10 years?*

    1. Yes
    2. No
29. If yes, please explain.
31. Have you ever been employed by the City of Tavares?*

    1. Yes
    2. No
33. If yes, please indicate date(s) of employment, department, position(s) and reason for leaving.
35. Please indicate your primary volunteer area of interest:*

    1. Library
    2. Parks
    3. Recreation

    1. Special Events
    2. Museum
36. Other
38. List past job experience, education, talents that might be helpful in your volunteer work:*
40. If required for the position, do you have a valid driver's license?*

    1. Yes
    2. No
42. Are any members of your family or relatives (by blood or marriage) employed by the City of Tavares?*

    1. Yes
    2. No
44. If yes, please indicate thier name(s), relationship and department:
46. Are there any types of assignments you do not want to work?*

    1. Yes
    2. No
48. If yes, please explain.*
50. Number of hours per week you wish to volunteer:*
52. Number of hours you need to complete a program (such as Bright Futures):*
54. Days and hours you can volunteer:*
56. Please provide any additional information that you would like the City of Tavares to consider:
60. Emergency Contact Information
62. First Name*
63. Last Name*
65. Relationship*
66. Phone Number(s)*
68. Address1*
70. Address2
72. City*
73. State*
74. Zip*
78. Certificate of Applicant
    I certify that the answers given on this application are true and complete to the best of my knowledge. I agree to inform the City of any additional information relating to questions raised on the application, which occur subsequent to my completion of the application. I realize that misrepresentation of facts or the failure to update any information relating to questions on the application may be cause for rejection of this application or dismissal from volunteer services. I authorize the City of Tavares to make any inquires it desires concerning me. I authorize schools, references and my prior employers to provide my records, reason for leaving and all other information they may have concerning me to the City of Tavares. I release the City of Tavares and all other parties from any and all liabilities or claims for any damage that may result therefrom. I understand that this application is no and is not intended to be a contract for employment.
80. Signature*
81. Date*
    Date
Leave This Blank:


83. 1. Receive an email copy of this form.
84. Email address

    This field is not part of the form submission.

85. Submit

* indicates a required field