Fillable PERSONAL DATA AVAILABILITY (Town of Knightdale)

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PERSONAL DATA AVAILABILITY (Town of Knightdale)

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END OF VOLUNTEER APPLICATION
PERSONAL DATA
FIRST NAME
MIDDLE NAME
LAST NAME
ADDRESS (Street Number and Name)
CITY
STATE
PHONE (Best Number to Reach You)
EMAIL ADDRESS
( )
AVAILABILITY
Have you ever filed a volunteer application with us before?
Yes
No
If YES, give date _________________________
Have you ever volunteered with us before?
Yes
No
If YES, give date _________________________
and reason _________________________
Have you ever volunteered with a school or municipality?
Yes
No
If YES, give date _________________________
and Organization _________________________
When are you available to begin? _________________________
In which area are you most interested in
volunteering?
Athletic Coaching (baseball, basketball, softball)
Age Group Preference: 4 5-6 7-8 9-10 11-12 13-15
Have you ever received any formal or informal coaching training? Yes No
Special Events Other
If OTHER, please explain _________________________
REFERENCES
List three persons who are not related to you who have definite knowledge of your qualifications for the volunteer opportunity for which you are
applying such as co-workers, teachers, etc.
Name
Phone
Email Address
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
CERTIFICATE
I certify that, to the best of my knowledge and belief, the information provided herein is truthful. In addition, I give the following Authorization to
Release Information. I hereby authorize my personal references listed to provide the Town of Knightdale any information requested. I understand
that before I can begin volunteering the Town of Knightdale will perform a criminal background check investigation. I also understand that false
information may be grounds for rejection of my application and/or refusal of a volunteer opportunity.
Signature
Date
Human Resources
Town of Knightdale
950 Steeple Square Court
Knightdale, North Carolina 27545
OFFICE: (919) 217-2222
FAX: (919) 217-2229
EMAIL: personnel@knightdalenc.gov
PARKS & RECREATION
VOLUNTEER APPLICATION
Volunteer applications can be
submitted to the Human Resources
Department by fax, email, or mail.
Please ensure that your application is
complete, signed, and dated before
submitting. Incomplete applications
will not be processed.
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PERSONAL DATA AVAILABILITY (Town of Knightdale)

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Completed 23 January 2021

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