Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been employed by HRC before? *

Yes - see below

No

Have you even been convicted of a felony? *

Yes

No

Are you 18 or older? *

Yes

No

Are you legally permitted to work in the US? *

Yes

No

Are you able to work weekdays? *

Yes

No

Are You able to work weekends? *

Yes

No

Are you able to work evenings? *

Yes

No

Do you have a current first aid card? *

Yes - List Expiration date below

No

Do you have a current CPR card? *

Yes - List expiration date below

No

Have you ever refereed, umpired, or kept score for HRC before?

Yes

No

Acknowledgement *

I certify that the answers given here are true and complete to the best of my knowledge. I understand that falsification or significant omissions of any information may be reason to end my volunteer relationship with HRC. My acknowledgement below also authorizes educational institutions, corporations, companies, partnerships, persons, and city, county and federal agencies to release information relating to the position for which I wish to serve for HRC upon their request. A copy of this acknowledged form shall act as the original and have the same validity.

I agree

I do not agree

Authorization *

I authorize and give consent to Hays Recreation Commission to obtain information about myself. I authorize this information to be obtained in writing, online, or by telephone in connection with my application. I also understand that any false information in this application will terminate my eligibility for employment or volunteer status.

I agree

I do not agree