* Required fields Please enter all the required fields and then save the form.
POSITION INFORMATION
* Position Applying for-First Choice
If you are applying for a volunteer opportunity from our Volunteer Listing, please specify the activity here.
APPLICANT INFORMATION
* Last Name
Middle Initial
* First Name
* Date of Birth	(mm/dd/yyyy)
Address
* Street
Apt/Unit#
* City
* State
* ZIP
Ward
* Phone 1
* Email

Please choose your primary ATHLETIC area of interest?
Please choose your primary RECREATION SERVICE area of interest?
* Please choose a RECREATION CENTER of interest?

* Choose the highest level of schooling completed
Do you have a valid photo ID?

Have you ever been convicted, forfeited collateral, or are you under charges for any felony, firearms or explosives against the law?
During the past seven years have you been convicted, imprisoned, on probation, parole, or are you under charges for any offense against the law not included above?

SKILLS, EXPERIENCE, LICENCES AND CERTIFICATIONS
Please list activities in which you have participated in or have organized/directed:
First Aid
First Aid Certification Expiry Date
CPR
CPR Certification Expiry Date
Pool Operations/Certifications
Pool Operations/Certifications Expiry Date

COMMUNITY AND VOLUNTEER SERVICE

Please list any community service and/or extracurricular activities including dates of participation. Please provide a contact name and phone number for each organization.

Organization 1	From Date	To Date
Contact Name	Contact Phone
Organization 2	From Date	To Date
Contact Name	Contact Phone
Organization 3	From Date	To Date
Contact Name	Contact Phone

REFERENCES

Provide information for three references below. One should be a personal reference and the other two professional references. Please do not list relatives, roommates, significant other, etc.

Reference1 Name	City	State
Phone Number	Current Position	Relationship to you
Reference2 Name	City	State
Phone Number	Current Position	Relationship to you
Reference3 Name	City	State
Phone Number	Current Position	Relationship to you

SIGNATURE, ACKNOWLEDGEMENT, CERTIFICATION AND RELEASE OF INFORMATION
YOU MUST SIGN THIS APPLICATION. Read the following carefully before you sign. This agreement must be completed and approved before accepting the services to volunteer. Volunteer services are authorized under the Volunteer Services Act of 1977, effective June 28, 1977 (D.C. Law 2-12;D.C. Official Code � 1-319.01 et seq.), and regulations contained in Part I of Chapter 35 of the District Personnel Manual (�DPM�). The volunteer shall be subject to a criminal background check, traffic record check, or both, if providing unsupervised direct services to children or youth (D.C. Official Code � 4-1501.1 et seq.) (2007 Supp.)). You will be required to submit a copy of your government or school/university/college photo identification. Incomplete applications will not be considered for volunteer services. As a volunteer member of the District government workforce, I will not engage in any form of political activity during the hours I render service for the District government, and I will not use District government resources to engage in any form of political activity. I understand that this agreement may be terminated at any time by the District government. I hereby acknowledge that I have read and understand this application in its entirety, and I certify that to the best of my knowledge and belief, all of my statements are true, correct, and complete.
Applicant Name(Acknowledgement)
Signature