JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BYESVILLE VOLUNTEER APPLICATION
V.I.P. (Volunteeer Impact Program)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please complete the Volunteer Application below to be considered for current or future volunteer opportunities in the Village of Byesville. A member from our staff will be in touch with you soon. If you have any questions, please contact Michael Port at
mport@byesvilleoh.gov
.
Date of Application
*
MM
/
DD
/
YYYY
Volunteer Opportunities (Check all that apply):
*
* Monitoring the Welcome Center / Byesville Museum / Virtual Learning Center
* Beautification Projects (i.e. planting flowers, mulching, raking leaves, watering flowers, etc.)
* Work in concession stand at events and in the park
* Assist with activities/events planned by park board, fire department, council, etc… (For example, Easter Egg Hunt, Byesville Blast, Firemen’s Festival, Jonathan Bye Days, Halloween Parade, Christmas Parade, Byesville Area Youth events, etc.)
* Painting crew
* Park monitors (assist in keeping the park a safe place to be for all ages)
* Litter control (in the park, at the ballfield and around downtown)
* Park Board (these positions are appointed by Mayor and serve 3 year terms) They work together with the park liaison. If interested in ever serving on the board, contact the mayor!
* General office work
* S.O.S. (Serving Our Seniors)
Other:
Required
Contact Information*
Fill in all required fields below!
First Name:
*
Your answer
Last Name:
*
Your answer
Mailing Address
*
Your answer
Preferred Phone Number
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Summarize your educational background, volunteer, or work experience that would be helpful as a volunteer.
*
Your answer
I have read and understand the Village of Byesville Volunteer Handbook ( A Yes answer is required to volunteer) It is available at
*
Yes
No
I certify that all statements made by me on this application are true and complete to the best of my knowledge. I understand that any false statements, misrepresentation, or omission may cause me to be excused from volunteer service. PLEASE INITIAL FOR CERTIFICATION
*
Your answer
COMPLETE RELEASE AND ACKNOWLEDGEMENT:
STATE OF OHIO
COUNTY OF GUERNSEY
RELEASE AND ACKNOWLEDGEMENT
The undersigned ("volunteer") is an adult person (Or a minor with parental consent) of sound mind who wishes to serve the Village of Byesville as a volunteer.
In consideration of the Village’s acceptance of the volunteer, the Village allows the volunteer to engage in volunteer activity and the volunteer does hereby acknowledge that he/she is not entitled to any Worker’s Compensation benefits, medical benefits, sick leave benefits, pension benefits, or any other benefits which accrue to employees of the Village of Byesville and hereby releases the Village of Byesville from any claims for any such benefits or for any other claim arising from the activities of the volunteer for the Village of Byesville.
The volunteer has read this document thoroughly and there are no other agreements, oral or written, which are inconsistent with this document.
DATE:
*
MM
/
DD
/
YYYY
Please initial for release and acknowledgement.
Your answer
Have you completed and signed a waiver? (A yes answer is required to serve as volunteer).
*
Yes
No
To recieve a copy of your submission, please fill out your email address below and submit. EMAIL ADDRESS:
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
