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Fort Myers

HR Department

239-321-7061

Form Section 1

Volunteer Application

Contact Information

Form Section 2

Questionnaire

Form Section 3

Questionnaire (cont.)

Date Picker
Form Section 4

Signature

AUTHORIZATION FOR RELEASE:  I understand that all information provided to the City of Fort Myers will become a matter of public record and will be open to inspection as required by Florida Statute.

By signing this application, I hereby acknowledge my interest in serving as a volunteer for the City of Fort Myers. I hereby certify that all statements in this application are true and complete. I understand that any falsification, misrepresentation or mission of information by me shall serve as a basis for disqualification from consideration.

I authorize the investigation of all statements contained in this application and hereby give the City of Fort Myers permission to contact schools, previous employers, references, and others, and hereby release the organization from any liability as a result of such contact. I understand that any false or misleading information or omissions of facts requested in this application may remove me from further consideration for volunteer service.

I understand that my volunteer service with the City of Fort Myers is for no specific length of time, but is based on the needs of the organization and my willingness to devote my time and skills to support it. I understand I will not be paid for my time or services, I am not an employee of the City of Fort Myers, and I may not represent myself as anything other than a volunteer for the City of Fort Myers, Florida.

The contents of the volunteer and related personnel policies as well as other organization policies and practices are subject to change. It is my responsibility to read, understand and follow such policies and to stay abreast of all changes.

All volunteer applicants shall be subject to a criminal background check. I hereby give my consent to the City of Fort Myers to investigate and verify any information provided on this application form and I consent to have background checks, criminal history checks and any other necessary investigation undertaken to determine my suitability to serve as a volunteer for the City. I hereby agree that should I be selected as a volunteer for the City, I will indemnify and hold the City of fort Myers, its employees, agents, representatives and volunteers harmless from and against any and all claims, demands, lawsuits, settlements, damages, costs and expenses, including attorney’s fees, suffered or incurred by the City or arising out of or in any way connected to my service as a volunteer. 

Further, should I be selected as a volunteer for the City, I agree to conduct myself professionally, honestly and in a manner that reflects credit upon the City. I further certify that I will not use my position as a volunteer for personal gain nor will I disclose any information that I learn as a volunteer that may be confidential or not available to the general public.

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
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