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Volunteer Application

  1. Volunteer Position Intrests:

  2. Check all that apply...

  3. ...

  4. ...

  5. Service Commitment

  6. Skills...

  7. Talents & Training:

  8. How did you hear about our Volunteer Program?

  9. As a volunteer at the Fitchburg Senior Center, I understand that all information made available to me in the course of my work as a volunteer regarding the personal matters of clients and participants is confidential, and I will treat it as such.

  10. I grant to the Fitchburg Senior Center, the right to take photographs of me in connection with my volunteer assignments. I agree that the Fitchburg Senior Center may use such photographs of me with or without my first name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and Web content.

  11. As a volunteer of the Fitchburg Senior Center I understand that I will not be considered an employee, agent or independent contractor employed by the City of Fitchburg for any purpose. I acknowledge and will neither accept nor claim entitlement to any salary or benefits of employment, including but not limited to insurance, retirement benefits, worker's compensation, travel expenses, or any other form of compensation of any kind.

  12. Leave This Blank:

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