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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.