Liberty Village Volunteer Application
You can be a part of "Where American History Comes To Life" at Liberty Village in Hurricane, Utah.
To help us match you with suitable assignments and locations, please provide the following information. Please note that volunteer placement is at the discretion of the Liberty Village, contingent upon organizational needs, volunteer availability, and the successful completion of a criminal history background check.
Liberty Village is committed to providing equal opportunities to all individuals seeking volunteer positions regardless of race, color, religion, political affiliation, national origin, disability, marital status, gender, or age.
Basic Personal Information
Additional Information
Emergency Contact Information
Interests & Skills
Availability
You MUST read each of the following statements. Your signature on this form is your attestation that each of the following statements are true.
I hereby certify that I have never been convicted of a felony or any offense involving the sexual molestation or physical or sexual abuse or rape of a child; and (ii) I have never been convicted of a crime of moral turpitude.
While volunteering my services at Liberty Village, I hereby consent to the use of visual
images taken of me at Liberty Village by its officers, agents, successors, or licensees of any associated entities. These images may be utilized for the purpose of trade, media relations and/or for advertising, promoting, recording, or educational purposes related to the facilities or services provided by Liberty Village. I waive the right to inspect or approve the finished product or the associated advertising or other copy, and I grant permission for the images’ unrestricted use.
I agree to direct all inquiries from print and electronic media regarding Liberty Village and its property access to the Liberty Village Administration and Management Office, either directly or through my supervisor. I acknowledge that only Liberty Village staff members may initiate such communication.
I hereby certify that all entries on this application are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any rights as a volunteer in the service of Liberty Village. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent to references and former employers (professional or volunteer) and educational institutions listed being contacted regarding this application.
IF VOLUNTEER IS UNDER 18 YEARS OF AGE, THE PARENT OR GUARDIAN MUST SIGN BELOW.
I affirm that I am the parent/guardian of the above named volunteer. I have read all of the preceding information and consent to their participation.