Summer Recreation Background Form

Thank you for your interest in becoming a Summer Recreation Volunteer!

Please complete the following background check form. If you have any questions, please contact City Hall at 723-3702.








I HEREBY CERTIFY THAT I HAVE PERSONALLY COMPLETED EACH PAGE OF THIS STATEMENT AND THAT ALL STATEMENTS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT ANY MISSTATEMENT OF MATERIAL FACT MAY SUBJECT ME TO DISQUALIFICATION; OR, IF I HAVE BEEN APPOINTED, MAY DISQUALIFY ME FROM CONTINUED EMPLOYMENT.



* - denotes required field