CITYOFDULUTH
VOLUNTEERAPPLICATION
ReturncompletedVolunteerApplicationtoCherylSkafte,VolunteerCoordinator,atcskafte@duluthmn.govorbymailateither
DuluthPublicLibrary|520WSuperiorSt,Duluth,MN55802orCityHallParksDepartment|411W1
st
Street,Duluth,MN55802
Thankyouforyourinterestinvolunteeringwiththe
CityofDuluth.Pleasefillouttheapplicationand
returntoCherylSkafteatcskafte@duluthmn.govor
bymailat411W1
st
Street,Duluth,MN55802.
TitleofVolunteerOpportunity
Ifnotapplyingforaspecificvolunteerposition,pleaseleaveblank.
FirstName LastName
Organization
and/orGroup
#ofMembers
PrimaryPhone Email
StreetAddress City,StateZip
Areyou18yearsoldorolder? YESNO
Filloutthissectiononlyifapplicantis
under18yearsold.Pleasenoteifyou
are15yearsoldoryounger,youwill
needtovolunteerwithanadult.
Parent/GuardianName
Parent/GuardianPrimaryPhone
Parent/GuardianSignature
VOLUNTEERINTERESTS:Checkthetypesofopportunitiesyou’reinterestedinreceivinginformationabout.
CommunityEducation/Outreach
InvasiveSpeciesRemoval
ParkBeautification
TreePlanting/Maintenance
Landscaping/Gardening
SpecialEvents
YouthSportsCoach
YouthDevelopment
RecreationActivities
TrailMaintenance
Whyareyouinterestedinvolunteering
withParksandRecreation:

Listanyskills,trainingorexperienceyouwouldbringtothisvolunteeropportunity:
Describeyourinvolvementincommunityactivitiesorothervolunteerwork(organization,activity,dates
ofservice):
(Over)
CITYOFDULUTH
VOLUNTEERAPPLICATION
ReturncompletedVolunteerApplicationtoCherylSkafte,VolunteerCoordinator,atcskafte@duluthmn.govorbymailateither
DuluthPublicLibrary|520WSuperiorSt,Duluth,MN55802orCityHallParksDepartment|411W1
st
Street,Duluth,MN55802
Thankyouforyourinterestinvolunteeringwiththe
CityofDuluth.Pleasefillouttheapplicationand
returntoCherylSkafteatcskafte@duluthmn.govor
bymailat411W1
st
Street,Duluth,MN55802.
Whenareyouavailable?Pleaseindicateallavailablehours.Aregularschedulewillbeestablishedupon
selection.Checkatleastoneoption:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Morning 
Afternoon 
Evening 
Haveyoueverbeenconvictedofacrime? ___Yes ___No
Ifyes,andoverage18,provideshortexplanationoutliningthecircumstancesofyourconvictionincluding
date,natureandplaceofoffense,anddisposition.(Donotincludetrafficviolationsorconvictionssealed,
expunged,orannulledbythecourt.Convictionswillnotnecessarilydisqualifyyoufromvolunteering.)
Somepositionsmayrequireuseofyourownvehicle.Canyouprovideyourowntransportation?
___Yes ___No
Adrivingrecordcheckwillbenecessaryifyourvolunteeropportunityrequiresdriving.
Providetwopersonalreferencesfamiliarwithyourskills,experience,orcommunityactivitieswhomwe
maycontact.Listnameandphonenumber.
1.ReferenceName Phone
Email:
2.ReferenceName Phone
Email:
IherebycertifythatIhaveansweredtruthfullyandhave notknowinglywithheldanyinformationrelativeto myapplication.Iagree
andunderstandthatanymisstatementsormaterialomissionsontheapplicationwillresultinmybeingeliminatedfromfurther
consideration.Iunderstandthat,ifaccepted,anymisrepresentationormaterialomission
whichbecomesknowntotheCityof
Duluthmayresultinmyimmediatedismissal.

Signature(Pleasetypenameissubmittingelectronically) Date
click to sign
signature
click to edit