Apply to be a City of Fairfield Volunteer

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Application for Volunteer Service
If you wish to serve as a Group Representative, please list the organization’s contact info:
CITY OF FAIRFIELD VEHICLE INFORMATION
The following additional information is requested for driving privileges of City vehicles::
NOTICE OF BACKGROUND CHECK
All volunteers are subject to a background check. A Background Authorization form will be
forwarded to you along with instructions after a mutual interest has been established.
VOLUNTEER CONTRACT / STATEMENT OF AGREEMENT:
CONFIDENTIALITY:
I agree to maintain the same strict confidentiality regarding my duties that is expected of any paid staff.
RELEASE AND INDEMNITY:
In consideration of the following insurance protection, a volunteer authorized by the City of Fairfield shall be deemed an
agent of the City of Fairfield, only for the purpose of:
- Excess medical benefits for any injury sustained while engaged in the performance of an approved
volunteer activity.
- Properly licensed and approved operation of City vehicles or equipment;
- Liability protection normally afforded paid employees.
The undersigned volunteer hereby releases and indemnifies the City of Fairfield, its agents and employees, from any
other liability or obligation arising from, or in connection with the undersigned’s volunteer activities with the City of
Fairfield. This agreement may be terminated by either party upon written notification to the other. The release provisions
of this contract shall survive its termination.
 
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