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Volunteer Registration Record

  1. Daggett County Logo Black
  2. Volunteer Registration Record - Ongoing Volunteers
    Daggett County Department of Human Resources
  3. Applicant Information
  4. Do you have a Valid Utah Driver's License?*
  5. Have you been identified as a perpetrator of child abuse or neglect?*
  6. Have you been convicted of a felony?*
  7. Do you have a felony charge pending?*
  8. Have you been convicted of a misdeamor?*
  9. Have you received any moving traffic violations in the last 2 years?*
  10. Education
  11. High School Diploma or GED?*
  12. Employment/Volunteer History
  13. Name, address and phone of current or most recent employer.
  14. If currently employed, may we contact you at work?*
  15. Does Daggett County have your permission to contact your employer or volunteer organization?*
  16. References
  17. Daggett County has my permission to contact references, and to do a criminal record check, a Children's Protective Services and a driving record check.*
  18. By submitting electronically, I am confirming I am not a minor and I am electronically signing with my consent and authority.*
  19. Leave This Blank:

  20. This field is not part of the form submission.