PVBVolunteer · Customer Self-Service

Volunteer Demographics -Please enter your name as it appears on your Social Security Card.

First Name

Middle Name

Last Name

DOB (MM/DD/YYYY )

Gender

Address

City

State

Zip Code

Primary Phone Number

Please enter Primary Phone number in correct format 999-999-9999

Work Number

Please enter Work phone number in correct format 999-999-9999

Email Address

Other Volunteer Information

Highest Level of Education

Occupation

Skills and/or Certifications

Are you bilingual?

NoYes

If yes, what languages?

Medical Condition (i.e. allergic to Bee Sting)

T-Shirt Size

Have you ever worked for Mecklenburg County Park & Rec?

NoYes

Reason for Volunteering

Court Ordered

NoYes

Emergency Contact Information

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Home Phone

Please enter Emergency Contact Home Phone number in correct format 999-999-9999

Emergency Work Phone

Please enter Emergency Work Phone number in Correct format 999-999-9999

Volunteer Interest

Availability

Preferred Population

Position you are applying for

Location you are applying for

If you selected 'Other' for Position and/or 'Other' for Location please explain

Volunteer Terms and Agreement

Volunteer Terms and Agreement

I and/or the volunteer group that I represent shall indemnify and hold harmless Mecklenburg County, its officers, employees and assigns from and against all claims, damages, losses or expenses arising out of participation as a volunteer. I understand that volunteer services to Mecklenburg County are to be completed without remuneration or monetary benefit of any kind. I also understand that volunteers are responsible for their own insurance (medical, automobile, liability or any other) and are not covered in any way through County Insurance.

I agree to conform to Mecklenburg County Park and Recreation rules and procedures to the best of my ability and agree to respect the confidential nature of information I may obtain as a volunteer for Mecklenburg County Park and Recreation Department. I understand that a criminal records check may be conducted if it is required by my volunteer placement. I also understand that Mecklenburg County Park & Recreation reserves the right to discontinue the services of any volunteer at any time.

By entering my name below, I am confirming that I voluntarily and knowingly assume the risk and responsibility of my participation. I agree to hold harmless and release Mecklenburg County from liability for any injury I may sustain as a result of my participation.

I also authorize Mecklenburg County to use any photographs, recordings, or other images or likeness of me taken during my participation, for marketing, social media or other County purposes.

If under 18, Parent or Guardian, please agree to the terms and conditions above for the volunteer.

I give my permission for my underage child to volunteer and I understand that all volunteer applicants aged 16 and up will require a background check.

Parent/Guardian Name (if under 18)

I agree to the Volunteer Terms

NoYes

Volunteer Demographics -Please enter your name as it appears on your Social Security Card.

Other Volunteer Information

Emergency Contact Information

Volunteer Interest

Volunteer Terms and Agreement

Mecklenburg County Government