Division of Human Resources
Volunteer Service Application
Volunteer Service Application Page 2 of 2 Revised 07/2019
The below named person (“Volunteer”), requests to be appointed as a volunteer for USF, pursuant to
Chapter 110, Part IV, Florida Statutes, to perform those volunteer services approved by the University.
Volunteer agrees to perform said volunteer services in a diligent and safe manner. Volunteer hereby
acknowledges and agrees that any appointment to act as a volunteer for the University is without
promise, expectation, or receipt of compensation or future employment for the services rendered, and
Volunteer agrees to comply with the terms hereof.
The University acknowledges that Volunteer will be provided with liability protection pursuant to Section
768.28(9), Florida Statutes, and covered by Workers’ Compensation, in accordance with Chapter 440,
Florida Statutes. However, Volunteer will not be entitled to such liability protection and workers’
compensation for willful or malicious conduct or conduct outside the scope of approved volunteer
services.
Volunteer agrees to complete and submit time sheets to be provided by the University and verified by
Volunteer’s supervisor, indicating the dates and times of volunteer services rendered for the University,
and further agrees to comply with all applicable rules and regulations of the University. Volunteer
recognizes that Volunteer is not part of any collective bargaining unit, is an unpaid independent
volunteer, and is not entitled to Unemployment Compensation should Volunteer’s appointment be
discontinued. The University reserves the right to discontinue the appointment of Volunteer at any time
it is deemed to be in the University’s best interests.
Volunteer agrees that Volunteer is not authorized to bind the University to any contract or obligation
whatsoever, and Volunteer is responsible for all statements made or actions taken by Volunteer that
may be outside the scope of Volunteer’s assigned duties. The University’s approval of volunteer
services does not certify Volunteer’s compliance with any obligations or restrictions Volunteer may have
under federal law relating to any nonimmigrant visa status or extension thereof. Based on the nature of
volunteer services to be performed, Volunteer may be subject to a background check. To determine if a
background check is required, contact the Division of Human Resources.
Certification Statements
I understand that the University of South Florida has no obligation to assign an individual to
perform voluntary service solely on the basis of this application. I have read and fully understand
the contents of Florida Statutes 110.501-110.504 for volunteers of State agencies and the
University’s Volunteer Guidelines.
Volunteer:
Name: _____________________________________________________________________________
___________________________________________________________________________________
Signature Date
Please provide copies of this two page Volunteer Service Application to the Department that you
are interested in for a volunteer opportunity. Questions: 813-974-2970
click to sign
signature
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