Hermon Recreation Background Check & Volunteer Form
Thank you for your interest is volunteering for Hermon Recreation! We would not be able to run our programs without your support.  
Sign in to Google to save your progress. Learn more
Email *
Full Legal Name *
First and Last Name
Activity Volunteering For *
Required
Address *
City / State / ZIP *
Contact Phone *
Date of Birth
MM
/
DD
/
YYYY
Occupation/Employer *
Do you have a child in the program? *
Do you have a valid driver's license? *
License Number and State of Issue *
Have you ever been convicted of a crime involving children or child endangerment or been refused involvement in any youth organization? *
As a condition of volunteering, I give permission for the Town of Hermon to conduct background checks on me, which may include a review of the sexual offender registry, child abuse and criminal history records.  I understand that if appointed, my position is conditional upon the Recreation Department receiving no inappropriate information on my background.  I hereby release and hold harmless from liability, the Town of Hermon or any of its employees that may provide such information.  I understand that I am a "volunteer at will" and can be terminated before the period for activities expires. *
Required
Electronic Signature *
First / Last
Date *
MM
/
DD
/
YYYY
Questions/Comments/Concerns?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms