CITY OF INGLEWOOD
Parks, Recreation and Community Services
VOLUNTEER APPLICATION
Personal Information:
Last Name: First Name: Date of Birth:
Street Address: City: Zip:
Home Phone (include area code): Other Phone: Email:
Emergency Contact: Phone Number (include area code):
Skills and Interests (optional):
Educational background:
Current occupation:
Hobbies, skills, interests:
Previous volunteer experience:
Preferences in Volunteering:
1. Is there a particular type of volunteer work in which you are interested? (check all that apply)
Coaching Cultural Arts
Assistant in general administrative duties Special Events
Recreation Instructor Event Photographer
Receptionist Food Service
Computer Technology Commodities
Neighborhood Clean Up Library
Code Enforcement No Preference
Other

PLEASE NOTE THAT OCCASIONALLY THERE ARE OPPORTUNITIES FOR YOUTH UNDER AGE 15 TO VOLUNTEER WITH ADULT FAMILY MEMBERS FOR SPECIAL PROJECTS.
FOR MORE INFORMATION PLEASE CALL (310) 412-4346.

2. Is there a person or group with whom you are particularly interested in working? (Check all that apply.)

No Preference Youth Adults
City Staff Teens Seniors
People with Disabilities Sports

3. Are there any groups with which you would not feel comfortable working? If yes, please list.

No Yes
Availability:
1. What times are you interested in volunteering? (Check all that apply.)
Flexible Prefer Weekdays Prefer Weekends - Times Available:

2. Do you have a geographic preference as to where you do volunteer work? If yes, please list.
No Yes

3. Do you have any physical limitations or are you under any course of treatment that might limit your ability to perform certain types of work? If yes, please list.
No Yes

Miscellaneous:
1. Please list two non-family references whom we might contact (list name and phone number with area code):

A -
B -

2. Reason for volunteering:

Community Involvement Need School Credits Other

3. How did you hear about us? (Check all that apply.)

Internet Ad / Flyer Agency / School
Newspaper TV-Inglewood Cable TV Friend / Volunteer
Other

4. Does you employer have a corporate volunteer match or giving program?

No Yes

RELEASES AND WAIVERS
If a MINOR (under 18 years of age) it is understood that a parent or legal guardian must sign and submit a hardcopy of the Waiver of Liability and Indemnity form prior to working as a volunteer for The City of Inglewood.
Fingerprinting is required for City volunteers with supervisory or disciplinary authority over any minor per Section 5164 of the Public Resources Code. The Inglewood Parks, Recreation and Community Services Department (IPRCS) staff coordinates fingerprinting requirements with the City's Personnel Department. A Live Scan fingerprinting process is initiated at the applicant's expense by IPRCS, and administered by the City's Police Department, IPD and the California Department of Justice (DOJ). The DOJ determines a volunteer applicant's status of eligibility. Confidential background reports are then communicated to the City by DOJ and must be handled in accordance with the State Privacy Act.
CITY OF INGLEWOOD
RELEASE OF LIABILITY AND ASSUMPTION OF RISK
I, on behalf of myself, or on behalf of my minor child, hereby waive in advance any and all actions or causes of action and claims for injury or property damage which I may have, or which may hereafter accrue to me, my heirs or other successors as a result of my participation in any activity, or activities incidental thereto, (hereafter referred to as the "activity") sponsored by the City of Inglewood in the attached registration form. This is intended to release and hold harmless the City of Inglewood and its elected officials, officers, employees, contractors and agents including the Inglewood Police Activities League (IPAL).
I understand that I must be in good health prior to participating in the activity. I understand that serious accidents occasionally occur to participants during such an activity, transportation to or from such an activity, and during activities incidental to such an activity. Knowing these risks, I expressly assume those risks and agree that under no circumstances will I or any of my heirs or successors present any claim or action against the City of Inglewood.
Participants permit the taking of photographs of themselves and/or their minor children by the City of Inglewood during recreation activities to be used in City and/or IPAL publications and/or websites.
I HAVE READ THE FOREGOING AND ACKNOWLEDGE THAT I AM GIVING UP IMPORTANT LEGAL RIGHTS BY SIGNING THIS AGREEMENT.
I AGREE
Applicant applying online: Your typed name, in lieu of your signature represents your legal binding acceptance of the terms of this application.
Applicant's Typed Signature
Date
Guardian's Signature if Applicant is a minor
The City of Inglewood reserves the right to refuse the services of any volunteer based upon information received from the Department of Justice in the process of running the volunteer's fingerprints

Application Will Be Submitted To:

Inglewood Parks, Recreation and Community Services
Attention: Volunteer Coordinator
One Manchester Boulevard
Inglewood, California 90301
(310) 412-4346