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2. Note
   There are many opportunities for individuals and groups of all sizes to make a difference in Portage! Church groups, corporate citizens and service organizations often provide much-needed manpower for important beautification projects in the city. Projects range from park cleanup, flower planting (spring), park shelter upgrades, cleaning of buildings at Celery Flats and other projects tailored to you or your group.
   
   Complete and submit the Community Beautification Volunteer Application. City staff will contact you in 3 to 5 business days to discuss volunteer opportunities that meet your interest and availability.
4. Organization (If Applicable)
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. How many people are in your group?
16. What type of project would you like to perform? Select all that apply or none if you have something else in mind.

    1. Park Cleanup
    2. Trail Cleanup
    3. Park Shelter Upgrade
    4. Invasive Plant Removal / Wildflower Bed Management
    5. Flower Planting (Spring)
18. What type of project do you have in mind? Be as specific as possible and include your (your group's) interests and skill level.
20. When would you like to perform your project? What days and hours are you available for volunteer work?
22. Have you ever been convicted of a felony?

    1. Yes
    2. No
24. Agreement
    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.
26. Applicant's Signature
    (eSign by typing name)
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field