2. 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.
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Phone Type*
    -- Select One --HomeCell
16. Email Address*
18. Preferred Contact Method*
    -- Select One --PhoneEmail
22. In Case of Emergency Contact
24. First Name*
25. Last Name*
27. Phone Number*
31. Personal Information
33. 1. Are you 16 or older*

    1. Yes
    2. No
35. 2. Are you a U.S. citizen or legally authorized to work in the U.S.?*

    1. Yes
    2. No
37. 3. Have you ever volunteered with the City of St. Peters before?

    1. Yes
    2. No
38. If yes, please describe when and where you volunteered.
40. 4. Are you related to any City official or employee by blood or marriage?*

    1. Yes
    2. No
41. If yes, please list employee name(s) and relationship to you.
43. 5. Current Work Status

    Check all that apply.

    1. Retired
    2. Student

    1. Employed
    2. Not Employed

    1. Other
    2. Regular Volunteer
45. 6. Highest Education Completed

    1. 8th Grade
    2. 9th Grade

    1. 10th Grade
    2. 11th Grade

    1. 12th Grade
    2. Associate's Degree

    1. Bachelor's Degree
    2. Other Degree
47. 7. Name of Current School (if still a student)
49. 8. Name of Current or Most Recent Employer
50. Dates Employed
54. Volunteer Work
56. 9. Prior Volunteer Experience
58. 10. Volunteer Availability*

    Select all that apply

    1. Special Events
    2. Long-Term
    3. Weekends

    1. Weekdays
    2. As needed
59. 11. Areas of Volunteer Interest
61. 12. Do you require any special accommodations?

    1. Yes
    2. No
62. If yes, please explain
66. Personal or Professional Reference

    Please do not list relatives or family members.

68. First Name*
69. Last Name*
71. Phone Number*
72. Relationship to Applicant*
76. Acknowledgement

    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.

78. In lieu of your handwritten signature, by typing your name in the box below, you are agreeing to the above:​*
Leave This Blank:


80. Submit

* indicates a required field