El Paso Zoo Adult Volunteer Application
Note: This application is for adult volunteers ages 18 and over only.
Return to Volunteer Program, El Paso Zoo
4001 East Paisano,
or by Fax to 915-521-1897 or e-mail to langenfeldar@elpasotexas.gov
For more information call 915-351-5340 or 532-8156
Name
Address ZIP
Telephone HOME OTHER
E-Mail FAX
Social Security Number Date Of Birth
Mother’s Full Maiden Name (First &
Last)
□ Diploma □ GED List any degrees
Indicate preferred Department for
volunteer assignment.
What type of services can you provide?
Are you volunteering for:
□
A special event?
If so,
what event?
□ Community Outreach (non court-ordered)
□ Community Service (court-ordered)
□
With a group?
If so what
group?
If
so, what school/company?
Emergency Contact
Relationship
Telephone__________________________________________________________________
Records Disclosure
Unless otherwise requested, the Texas
Public Information Act, 552.024 makes the names of Municipal volunteers and
officials open record.
Do you
wish to allow public access to your home address, home telephone number,
social security number and family information?
READ CAREFULLY AND ANSWER ALL ITEMS
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Have
you previously worked for the City of |
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Are
you currently employed or have you ever been employed by a City of |
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Have you ever served on active duty in the armed forces? If yes, give type of discharge, branch of service, and active duty dates in REMARKS below. |
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Have you been dismissed or asked to resign from any job? If yes, explain in REMARKS below. |
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Have you ever been convicted, imprisoned, fined, placed on probation or parole, or are you now under charges for any offense(s) against the law? If yes, list charges and disposition of the case(s) in REMARKS below. DO NOT list successful completed deferred adjudication(s). |
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Have you received any traffic citations in the last five years (excluding parking)? If yes, list and explain and give date and disposition of each citation in REMARKS below. |
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Do
you have relatives employed by the City of |
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May we contact your current employer regarding your qualifications, character, etc.? |
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REMARKS: (Use to explain above items.) |
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Morning |
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Evening |
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I have volunteered my services to the City of
El Paso
and the El Paso Zoological Society.
I
hereby release the City of
employees,
advisors, agents, patrons, and volunteers from any liability for any loss, cost,
or damage
to me or my property arising out of or in connection with my
activities and/or time spent in
connection with this volunteer work.
I certify that my statements in this application and other required
forms, are true, complete, and correct to the best of my knowledge and belief.
I also agree that
ALL statements made on this application may be
investigated.
I consent to the
release of information,
about my ability and fitness for volunteering with the
City of
City of
release to the public under the Texas
Public Information Act.
| _________________________________ Volunteer Signature |
_________________________________ Date |
hereby agrees that he/she is a volunteer and
not an employee of the City.
City
shall not be subject to
any obligations or liabilities of Volunteer,
Volunteer’s agents or representatives, incurred in the
performance of this
contract.
If any such obligation or
liability of Volunteer, Volunteer’s agents or
representatives should be
attributed to City, despite City's above express waiver of any and all such
obligation and liabilities, Volunteer expressly agrees to indemnify and hold
harmless City from any
and all such obligations or liabilities.
As a Volunteer for the City of
§
I agree to be prompt and reliable in reporting for my scheduled
assignment period or scheduled
program and to provide the City with an accurate
record of my hours worked by signing in and
out on the Volunteer Hours sheet.
§
I agree to dress in accordance with the City of
my assignment, remembering that I am a volunteer and I represent the City
of El Paso.
§
I agree to respect the patrons/customers by being friendly and
cooperative with them and to guide
them to a staff member if necessary.
§
I agree to respect the function of the permanent staff and to
contribute to maintaining
professional relationships between the staff and
myself.
§
I agree to carry out assignments in good spirit and to seek the
assistance of my supervisor or
another staff person whenever I have a question
or have completed a project.
§
I agree to exercise caution when acting on the assigned
department’s behalf in any situation and
to protect the confidentiality of all
information relating to the assigned department.
§
I understand that I must attend Sexual Harassment Training,
conducted by the City of
and adhere to the City of
§
I understand that the City of
at any time, upon
notice to the other party.
The City
shall have no responsibility or liability because
of such termination and no
further responsibility or liability under this agreement after such termination.
§
I agree to perform services for the City of
receive no money or other form of compensation for such services.
The
City of
enjoyable, and productive. If for
any reason, you wish to change your assignment, a new volunteer
agreement must be submitted.