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KNB Volunteer Application

  1. cityseal_no_text.jpg

  2. Norfolk Department of Public Works
    Volunteer Application


    To be considered for volunteer opportunities with Keep Norfolk Beautiful, please complete the application below. Completion of this volunteer application does not guarantee placement or engagement as a City of Norfolk volunteer. Qualified volunteer applications are considered without regard to race, color, religion, gender, national origin, age, sexual orientation, marital status or non-job related medical condition(s) or disability.

  3. Volunteer Benefits

    There is a wide variety of volunteer opportunities that can help you gain valuable work experience, make use of your skills and knowledge, and meet new friends. Time commitment is flexible; you choose your days and hours!

  4. Personal Information

  5. Title*

  6. I am between the ages of:*

  7. (Example: VA 39401329)

  8. (Example: Mother, father, aunt, sibling)

  9. VOLUNTEER OPPORTUNITIES OPT-IN

  10. Availability & Assignment Request

  11. I would like to volunteer*

  12. Please check the days you are available to volunteer. (Check all that apply)*

  13. Areas of Interest: *

    Check all that apply

  14. Last school attended

  15. Interests & Skills

  16. References

    Please provide two references that are familiar with your academic, professional or volunteer service. Please do not list relatives.

  17. Criminal History*

    Have you ever been convicted of a felony or misdemeanor (Other than a minor traffic violation)? A “yes” answer will not automatically bar you from placement; however, a false statement will disqualify you. If yes, please explain fully below.

  18. Please upload your complete resume.

  19. Certification & Acknowledgement of Risks

    I hereby certify that all statements made in this application are true and correct to the best of my knowledge. Furthermore, I authorize the City of Norfolk to conduct a background investigation on all matters contained in this application or data pertinent to my volunteer service. I acknowledge that any false statements or misrepresentation on this application will be cause for refusal of placement or immediate dismissal.

    I understand and agree that in the performance of voluntary services, I am not a City of Norfolk employee and shall have no rights to wages or benefits and no promise, expressed or implied, of consideration for future employment.

    I agree to indemnify and hold the City of Norfolk, its employees and contractors, harmless from any and all liability for any injury that I might incur arising out of or in any way connected to my participation in this volunteer program. I also agree to grant full permission to the City of Norfolk to use my name and any photographs, video or recordings for any purpose whatsoever without obligation, liability or compensation to me.

  20. Leave This Blank:

  21. This field is not part of the form submission.