VOLUNTEER WORK REQUEST 2017-2018
Definition of a volunteer: “Someone acting without legal obligation; a participant in something who is not legally bound
to participate and does not expect to be paid.”
Directions: Volunteers complete Part II. Fingerprint clearance and TB work clearance is required of all volunteers.
Human Resources will provide paperwork. Board Policies are available on the web.
site: http://www.cuesta.edu/about/depts/humanresources/new_employee_forms/Short-term_Student.html
No volunteer may begin college volunteer activities until this form is completed and approval has been given by the Human
Resources Office.
PART I COMPLETED BY REQUESTING DEPARTMENT
Volunteer services to assist with:
Earliest Preferred Start Date:
Will volunteer need computer access? Yes (submit Computer Access form to Computer Services) No
Approving Manager (Print name):
Approving Manager’s Signature:
Current employee at Cuesta?
Yes (if yes, what department _______________________
Current student at Cuesta?
If you checked “No” to the above two questions, please fill out the following information for a parking permit:
I have read Board Policies 3410, 3430, 3720 (found on the Human Resources page link above)
Have you ever been convicted of a felony or misdemeanor criminal offense? (Include convictions by court martial and
driving under the influence-DUI; you do not need to include minor traffic violations).
Yes No
If “yes”, identify the charges and give date(s), place(s) and disposition on separate sheet.
I certify that all the information I have provided above is true and complete to the best of my knowledge. I understand
that I will not be paid for this professional volunteer assignment.
COMPLETED BY HUMAN RESOURCES
The volunteer named on this form has completed and submitted all of the required paperwork.
Human Resources Signature:
COMPLETED BY PUBLIC SAFETY
Volunteer parking permits may be issued to volunteers of the college. Approval is required by Public Safety.
Time Period Valid Through:
