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City of Lynchburg

(434) 455-3803

Form Section 1

Volunteer!Lynchburg - Internship Application

Thank you for your interest in volunteering for the City of Lynchburg! Internships are at the discretion of the City department. Your application will be forwarded to the appropriate department for consideration. 

Please complete the following information and then click submit.

Checkbox/Radio Group
Today's Date
Date Picker
Full Name
Full Address
Age Range
During which hours are you available for volunteer assignments?
What type of internship?
About how many hours can you volunteer?
Are you volunteering to satisfy an education requirement?
Indicate which areas you are interested in volunteering.

Person to notify in case of emergency:

Full Name

Agreement and Signature (if under 18 years of age, a Parent or Guardian must sign)

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. It is also understood that depending on the type of volunteer service I am selected for, a background check may be performed. 

Sign Here