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Parks & Recreation

Healthy Parks, Healthy Portland

Phone: 503-823-PLAY (7529)

Fax: 503-823-6007

1120 SW Fifth Ave., Suite 1302, Portland, OR 97204

****REGISTER NOW FOR SUNDAY PARKWAY and $5 5K FUN RUN****

 

APPLICATION TO REQUEST TO PERFORM
COURT-ORDERED COMMUNITY SERVICE FOR SPECIAL EVENT(S)

Please complete the form below to REQUEST to volunteer for special event(s) to fulfill court-ordered community service.
Please allow 3 business days for response.

You must also be REGISTERED with the program to volunteer at a Special Event

CRIMINAL RECORDS BACKGROUND CHECK
In order to serve the best interest of the citizens of Portland, Portland Parks & Recreation conducts a criminal background check on all new volunteers. If you have been convicted of an offense other than a minor traffic violation or juvenile offense, please provide that info in the box below, listing date, charges, disposition, city, county and state in which the offense occurred. Conviction history will not automatically disqualify you from volunteer status, but factors such as the nature and gravity of the crime, the length of time that has passed since the conviction, the completion of any sentence and the nature of the volunteer job for which you have applied, will be considered.


Court-ordered Community Service Special Event Request

Background Check Info -- REQUIRED

Criminal background checks will be conducted on volunteers for the following events:
  • Sunday Parkways
  • 5K Runs
  • Washington Park Concert Series
Full Legal Name*
List other names used (include maiden name). Use N/A if not applicable.*
Date of Birth *
Please list other states of residency*
Please list all criminal convictions made against you.
Include Name (when charged), Conviction, Date,
City/County/State occurred.
Enter N/A if not applicable.*

BACKGROUND CHECK CERTIFICATION

I have made no willful misrepresentations, omissions or falsifications of any of the preceding answers. I am aware that should investigation disclose such misrepresentations, falsifications, or omissions in the information I have submitted in the application process, my application will be rejected. If after acceptance for volunteering, subsequent investigation should disclose misrepresentation, falsification, or omission, it will be just cause for immediate dismissal.
Acknowledgment/Signature*

Sunday Parkways-2013 in various locations

Sunday Parkways (East), Sunday, August 25, 2013,
9:00 am to 5:30 pm

5K Fun Runs at various parks

5K Run (Southeast), Sunday, September 22, 2013,
7:00 am to 11:00 am
5K Run (North), Sunday, October 22, 2013,
7:00 am to 11:00 am
* Required Field

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