You must have JavaScript enabled to use this form. Name First Last Home and or Mailing Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Day Phone Evening Phone Email Fax Drivers License? - None -YesNo Please list in order of preference of up to 3 volunteer jobs that interest you Why are you interested in volunteering? Please mark the kind of skillset(s) you have experience in Typing Scanning Filing Marketing Outreach Customer Service Desk Weeding Painting Animal care List other skills that are not listed Do you speak the Spanish language? - None -YesNo Please briefly describe your pertinent experience, training or skills Previous volunteer experience What days and times are you available to volunteer? List maximum hours per week you would like to volunteer Most volunteer work requires a commitment of time. Please tell us for how long you would be available. Please choose a timeframe 1-3 Months 6-12 Months One year plus Special Project/Event Will your volunteerism fulfill any obligation of the following Community Service Work-Study Job Training None Are you currently volunteering with the county in any other capacity? Do you have any relatives working or volunteering with the county? Please list any accommodations you would require or any limitations we should be aware of Due to the confidential nature of some assignments, some volunteer positions with the county require a criminal background verification. Do you authorize the county to initiate a background check if required? Yes, I authorize Clatsop County to initiate a criminal background check. If yes, you will receive an email from TalentWise (Sterling Talent) with further instructions. No, I do not authorize Clatsop County to initiate a background check. (If no, you will still be eligible to volunteer in positions that do not involve the personal or confidential information of others or otherwise present a risk to county staff If no, you will still be eligible to volunteer in positions that do not involve the personal or confidential information of others or otherwise present a risk to county staff or the public. Signature Date Leave this field blank Print
