Fontana, CA - Official Website

Personal Information

What type of volunteer are you applying for*
1. Citizen Volunteer
1. Chaplain Volunteer
A current and valid ordination or license is required. Can you provide a copy of your credentials?*
1. Yes
2. No
If no, why?
Personal Information
Name*
Date Of Birth*
Date Of Birth
Address*
City*
State*
Zip Code*
Preferred Phone*
1. Cell
2. Home
Phone*
Drivers License Number*
State*
Emergency Contact
Name*
Phone*
Address*
City*
State*
Continue

Education / Related Interest

Experience

Company / Organization*
Date of Employment*
Date of Employment
Supervisor*
Company / Organization*
Date of Employment*
Date of Employment
Supervisor*
Company/ Organization*
Date of Employment*
Date of Employment
Supervisor*
Continue |Go Back

Personal References

Name*
Years Acquainted*
Address*
Phone*
Name*
Years Acquainted*
Address*
Phone*
Name*
Years Acquainted*
Address*
Phone*
General Release of Liability
For and in consideration of the granting of permission to participate in the activities conducted by and/or with City personnel, in my volunteer status, the undersigned, on behalf of him/herself, his/her heirs, executors, administrators, and assigns, hereby fully releases and discharges City of Fontana, its members, agents, and employees from any and all claims, actions and liabilities that may arise as a result of my volunteer participation with the Police Department / Division. The undersigned has read this General Release of Liability and fully understands and acknowledges the significance of said General Release of Liability and hereby assumes full responsibility for any injuries, damages, or losses that he/she may incur from my volunteer participation with the City. As a Volunteer, I understand that I am not entitled to receive compensation or benefits of any kind from the City, except those afforded in accordance with CA Workers’ Compensation laws. I further understand that should I use my automobile in Volunteer Service, I will keep in effect, automobile liability insurance equal at least to the minimum limits required by the State of California.
For and in consideration of the granting of permission to participate in the activities conducted by and/or with City personnel, in my volunteer status, the undersigned, on behalf of him/herself, his/her heirs, executors, administrators, and assigns, hereby fully releases and discharges City of Fontana, its members, agents, and employees from any and all claims, actions and liabilities that may arise as a result of my volunteer participation with the Police Department / Division.

The undersigned has read this General Release of Liability and fully understands and acknowledges the significance of said General Release of Liability and hereby assumes full responsibility for any injuries, damages, or losses that he/she may incur from my volunteer participation with the City.

As a Volunteer, I understand that I am not entitled to receive compensation or benefits of any kind from the City, except those afforded in accordance with CA Workers’ Compensation laws.

I further understand that should I use my automobile in Volunteer Service, I will keep in effect, automobile liability insurance equal at least to the minimum limits required by the State of California.
Dated*
Dated
Name of Participant*
Email Address*

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit | Go Back

Form Center

Search Forms:

Volunteer Form

Steps

Personal Information

Education / Related Interest

Experience

Personal References

Helpful Links