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441 Highway 101 N
PO Box 345
Yachats, OR 97498
Thank you for your interest in volunteering for City of Yachats. We look forward to partnerships with volunteers to enable us to effectively serve the citizens of our community. In order to ensure the safety of our volunteers and protect the interests of City of Yachats, we require potential volunteers to complete this questionnaire form and participate in a background check. Thank you for volunteering.
"Any time” can be a stated date range.
Please provide a short narrative about why you chose to apply for this particular committee or commission. You may attach a document below, if needed.
Please list two references that are not related to you and that have knowledge of your relevant experience for the type of volunteer activity you are interested in.
Name and contact information for the person(s) to reach in the event of an emergency.
I understand and agree to the following:
I PARENT/GUARDIAN as parent or legal guardian, hereby grant permission for MINOR to do volunteer work for City of Yachats. In the event of an emergency, accident, or illness, I authorize City of Yachats and its employees to administer emergency medical care to my child and/or, if deemed necessary, to secure emergency medical services and incur expenses for which I will be responsible for payment. My signature in the following hereby represents that I have read, understand, and to this agreement.
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