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2. First Name*
3. Last Name*
5. Address*
7. Phone*
8. Email*
10. City*
11. State*
12. Zip*
14. Date of Birth*
    Date of Birth
15. Driver's License*
17. Emergency Contact Name*
18. Emergency Contact Number*
20. Please let us know your volunteer interests.
22. What volunteer opportunities interest you?*
    If interested in a specific department or volunteer position, please specify.
24. Please list any previous volunteer experience you have.*
26. Do you have any special skills or training?*
28. Do you speak or write a language other than English?*

    1. Yes

    1. No
30. What is your purpose for volunteering?*
32. Do you have any restrictions or limitations for service? (i.e., health concerns, allergies, etc.)*
34. When will you be able to volunteer?*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday

    Please check all that apply
36. Have you ever worked or volunteered for the City of West Allis, Wisconsin?*

    1. Not sure

    1. Yes

    1. No
38. If yes, please provide details below
40. Are you related to anyone working for the City of West Allis?*

    1. Yes

    1. No
42. If yes, please provide details below
44. By typing my name below, I certify, authorize, or acknowledge: That all the information provided by me on this application for volunteering and any attachments or supporting documents I submit are accurate. Recognizing that the City may rely upon information I provide to make decisions on volunteers, I hereby certify that all information herein presented is accurate and free from omission, falsification, or misleading information. I authorize the City of West Allis to conduct background, personal, criminal, employment, volunteer history, or any type of investigation it may require to determine my fitness for volunteering. Convictions from a criminal background check will not necessarily disqualify an applicant for volunteer opportunities. Additionally, I understand that the City may require a physical examination, including, but not limited to, a drug screening.
48. First Name*
49. Last Name*
51. Parent/Guardian First Name
    If applicant is under the age of 18
52. Parent/Guardian Last Name
54. Date*
    Date
    Please enter today's date
Leave This Blank:


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

    This field is not part of the form submission.

58. Submit

* indicates a required field