VOLUNTEER AGREEMENT
Human Resources & Equal Employment Opportunity
Date: _____/_____/______
Name:
_____________________________
S.S. #: _____/_____/______
Address: _____________________________
Phone: _________________
_____________________________
Duties:
___________________________________________________________
Is hereby authorized as an unsalaried volunteer worker for ____________________
(Area)
This authorization is for:
Dates: _____/_____/______ to _____/_____/______
Days:
M
T
Times:________ a.m.
W
TH
p.m.
F
SAT
to ________ a.m.
SUN
p.m.
or sooner if terminated by the administrative officers whose signature appears below.
(Supervisor/Dean/Manager)
(Vice President)
I, the undersigned volunteer, understand and agree that I will conduct myself in
accordance with the rules and regulations applicable to employees of the College District
and that I will comply with all reasonable directions and instructions given by College staff.
I also understand that I cannot start working until my fingerprints have been cleared.
(Signature of Volunteer)
(Signature of Witness)
cc: Human Resources
Area Supervisor
Fingerprints taken: _____/_____/______
Physician Designation Form
Standard of Employment Form
HR-21
Revised 11/15