City of Portage Clerk's Office Volunteer Application

The City Clerk is always in need of volunteers to assist with elections, filing and other light, administrative work.

Phone Number

Please select the best way(s) to contact you:

Phone (Voice)

Phone (Text)

Other (Please Specify)

Please specify "Other":

Date of Birth (There is no minimum or maximum age for volunteers. Used for background checks.):

Race (Used for background checks only):

Gender (Used for background checks only):

Please select which activities/tasks to volunteer for:

Data Entry

Mailing/Filing Work

Any task in the Clerk's Office

Other (Please specify below)

Please specify "Other":

Please select how often you would like to volunteer:

Please specify "Other":

Please select the specific day(s) of the week you are interested in volunteering

Monday

Tuesday

Wednesday

Thursday

Friday

Any Day

Please list all of your pertinent skills and experience

Have you ever been convicted of a felony?

By submitting this form, I authorize my former employers and school authorities to give any information regarding my employment, together with any information they may have regarding me whether or not it is on their records. I authorize the City of Portage to conduct a criminal record investigation and driving record investigation. I hereby release them and their organization from any damage whatsoever for issuing same. I understand this is not a compensatory position, nor a promise of one. Furthermore, I understand that as a volunteer, I am not able to collect benefits including, but not limited to, Workers' Compensation. I acknowledge that I am volunteering my time and when this arrangement is no longer desirable by either party, either the City of Portage or myself may terminate this relationship.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

If you are 17 years of age or younger, please have a parent/guardian complete the youth permission slip located on the "volunteering" page on the City website.