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City of Keene Volunteer Application (With Minor Release)

Steps

  1. 1. Step One
  2. 2. Volunteer Information
  3. 3. Volunteer Agreement & Waiver of Liability
  4. 4. Volunteer Minor Work Release
  • Step One

    1. Personal Information

    2. Are you at least 18 years of age?

    3. Are you a current or former employee of the City of Keene?

    4. Have you ever been charged with or have charges pending for an offense that resulted in a conviction, probation, community supervision or deferred adjudication?

      (Please note: This includes DWI, DUI, driving while license suspended, reckless driving and other charges related to driving.)

    5. If 'Yes,' please provide the following information:

      If more room is needed, provide additional offense information in attached page(s).

    6. Important

      A conviction record will not necessarily bar you from volunteer work. Factors such as nature of offense, date, and relationship between the offense and the position for which you are applying will be considered. However, a false statement or omission of any information will bar future volunteer work.

    7. In Case of an Emergency, Contact the Following: