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St. Petersburg College Volunteer Application

Please complete the volunteer application form for consideration into St. Petersburg College's Volunteer program. Once you complete the form, click the submit button at the bottom of the electronic form.

Applicant Identification Information

1
Title (Mr., Mrs., Ms., Dr., None)
2
First Name
3
Middle Name
4
Last Name
5
Suffix (II, III, Jr. etc.)
*6
Mailing Address
*7
City
*8
State
*9
Zip Code
10
Date of Birth
/ /
11
Email Address
*12
Phone Number
13
Gender
14
Are you an SPC Employee?
15
Are you a current SPC Student?
*16
Full name of emergency contact
*17
Emergency Contact's Phone Number
*18
Relationship of emergency contact (Parent, Sibling, Spouse, etc.)

Education and Skills

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Education:
20
Name of Last School Attended:
21

Attendance:

Please give the date of attendance

22

Skills:

Please check skills which you would be willing to share as a volunteer with St. Petersburg College.

References

Please provide us with two references (employer, volunteer manager, etc.). Please indicate any volunteer work experience and provide your supervisor’s name and information.

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Full Name of Reference #1
24
Address of Reference #1
25
Email Address of Reference #1
26
Phone Number of Reference #1
27
Full Name of Reference #2
28
Address of Reference #2
29
Email Address of Reference #2
30
Phone Number of Reference #2

Volunteer Interest

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What department or tasks are you interested to perform as a volunteer? Or, Department or tasks you are not interested in performing as volunteer?
32
Which campus would you like to be assigned as a volunteer?

Application Disclosure

Your date of birth is requested only for the purpose of obtaining a consumer report. Your response to the requested information is voluntary, and refusal to provide the information will not subject you to any adverse treatment. Your assistance in providing the information on this form will be greatly appreciated and will be kept confidential. Please be advised that this form will be separated from, and is not a part of, your official application for volunteer acceptance.

Note: A consumer report may consist of employment records, education verification, licensure verification, driving history, previous address, and other public records relative to criminal charges. A credit report will not be requested unless it is deemed pertinent to the functions of the position for which you are applying.

*33

I have read the above notice and understand what it means. I hereby authorize the procurement of a consumer report for volunteer purposes. Pursuant to the requirements of the Fair Credit Reporting Act, notice is given that a consumer report may be made in connection with your application for acceptance.

If I am denied, either wholly or partly, because of information contained in a consumer report, a disclosure will be made to me of the name and address of the consumer reporting agency making such report. I will also receive a copy of the report and a statement of my consumer rights.

Volunteer Application Acknowledgment

*34

I HEREBY CERTIFY that all the information provided on this application is true, correct and complete. I grant St. Petersburg College permission to verify this information for the purpose of determining my volunteer acceptance. I understand any misrepresentation or omission of any facts necessary to make this application complete shall be cause for rejection of the application or dismissal by St. Petersburg College.

I understand this application is not intended as a job offer or a contract for any specific time period and that I may resign or be terminated at any time without notice or requirement of cause.

I understand and agree that, as a condition of acceptance, I will be required to successfully complete all acceptance requirements. I further agree to abide by all rules, regulations, and policies of St. Petersburg College if accepted. I understand any acceptance is contingent upon successful completion of background check and health screening. I understand, if accepted, I may be required to complete an annual health screening.

Notice of Controlled Substance Testing Policy:
St. Petersburg College conducts its operations with the highest possible degree of safety for acceptance. Because of this standard, St. Petersburg College may request that all final candidates for acceptance undergo screening for controlled substances.

The screening for controlled substances will not be performed without the written, signed consent of the volunteer. If  volunteer is asked to complete the screening and decides not to submit to a screening for controlled substances or who does not successfully complete this screening, will not be further considered for acceptance.

By clicking I Agree, I am accepting the conditions and requirements as stated in the Volunteer Acknowledgement statement listed above.

 

If you have comments about this form or questions regarding how to complete this form, please contact Donna Bolich at bolich.donna@spcollege.edu or call 727-341-4770.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Equal Access Equal Opportunity Director/Title IX Coordinator at 727-341-3261; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.