Volunteer! Lynchburg Parks & Recreation Application

Thank you for your interest in volunteering for Lynchburg Parks & Recreation Department!

Please complete the following information and then click submit.

Today's Date

Primary Phone Number

Secondary Phone Number

Date of Birth (January 1, 1999)

During which hours are you available for volunteer assignments?

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekend Mornings

Weekend Afternoons

Weekend Evenings

How many hours per week and/or per month can you volunteer?

Week

Month

What type of volunteering are you interested in?

One-Time Volunteer

On-Going Volunteer

Internship (High School)

Internship (College)

Are you volunteering to satisfy an education requirement?

Yes

Are you volunteering for Court-ordered community service?

Yes

Highest level of education completed:

Work experience (please summarize):

Physical limitations if any:

Special skills or qualifications:

Previous volunteer experience:

Please share why you are interested in volunteering with Lynchburg Parks and Recreation.

Please provide two references (name, phone and/or email and relationship).

Person to notify in case of emergency:

Primary Phone Number

Secondary Phone Number

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

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.