Volunteer

Please complete the form below

Name *
Name
Do you have a food handlers card? *
Do you require community service hours? *
(Employer, Position, Contact Person, Phone, Dates Employed)
(School, Highest Grade Completed, Degree/Diploma, Major, Date Received)
(Name, Phone Number, Relationship to you)
Do you have any illness/medical conditions that would affect your ability to provide volunteer services? *
If yes, please provide a list and explanation of the condition
Please list two references (adults, who are not relatives) that have known you for at least a year) and their contact information
Electronic Signature *
I agree to follow all the rules of this volunteer CityArts program, and I release the City of Wichita and its elected officials, employees and agents from any liabilty and from any damages of any nature that I might suffer resulting from or arising out of my participation in this program. I also indemnify the City of Wichita and its elected official, employees and agents from any liability and from any damages of any nature that other persons might suffer resulting from or arising out of my participation in this program. I understand a background check may be performed.