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We consider applicants for volunteer positions without regard to race, color, religion, creed, gender, national origin, age, disability or veteran status, or any other legally protected status.
(check all that apply)
(do not include relatives or family members)
I understand that I must satisfactorily undergo a screening process conducted by the City of St. Peters ("the City") before I am accepted as a volunteer. This information may consist of information about my personal characteristics, character, general reputation, and lifestyle as they relate to my ability to perform the volunteer position for which I have applied. The City will rely on the results of this check as a factor in determining whether I am an acceptable volunteer.
Please read and sign the following:
I authorize the City to conduct a background investigation of me. I agree that the City may request information from various federal, state, and other agencies, including public and private sources that maintain records concerning my past activities relating to my driving record, criminal record, civil matters, previous employment, educational background and professional licensing.
I authorize any parties contacted to release information to the City regarding my previous employment, criminal history, driving record, academic records, licenses and certifications, and any other information.
I understand that the City cannot guarantee the accuracy of any information reported to it by third parties, and I release the City from liability for damages that arise from errors or omissions in my background investigation.
I certify that all of the information I provided is true and complete to the best of my knowledge. I understand that if any of the information I have provided is found false or has been omitted, that such false statements or omissions may be grounds for my rejection or termination of my employment.
In lieu of your handwritten signature, by typing your name in the box below, you are agreeing to the above:
(enter your name)
This field is not part of the form submission.
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