SMART Volunteer Application

Please complete this application form if you are interested in becoming a volunteer for SMART. Once you complete the form, click the "Submit" button at the bottom. Fields marked with an asterisk* are required.

SMART Volunteer Agreement

I agree to serve as a volunteer for the City of Wilsonville. In so volunteering, I understand that such activity may involve risks of injury, loss, or damage to myself and others. By signing this agreement, I expressly agree to assume any and all such risks. I understand the nature of acts I am to perform as a volunteer and certify that I have taken all necessary precautions to be certain that I am in proper condition to participate in such activities. In addition, in consideration for being permitted to perform volunteer activities, I understand, accept, and agree to the following:

1. I hereby release, indemnify and hold harmless the City of Wilsonville, its officers, employees, and agents from any and all claims, actions, demands, loss, cost, or expense including attorney fees, for damages or personal injury to myself or damage to any property owned by me or others as a result of my performing volunteer activities under the auspices of the City of Wilsonville.

2. I understand that I am covered by the City’s General Liability Insurance, which, subject to the terms thereof, covers liability arising from my acts as a volunteer that are within the course and scope of my assigned duties. I understand and accept that I am NOT covered by the City’s Workers Compensation Program and will look to my own health insurance.

3. If I drive a motor vehicle as part of my volunteer duties, I hereby warrant that I have a valid Oregon Driver’s license and auto insurance, and am limited to that insurance for coverage for driving-related activities.

4. I warrant that I have read and I agree to comply with all City policies. I understand that as a volunteer, I may come into contact with or possession of personal information about persons served by City departments. I understand that such personal information is treated as confidential and agree not to share such information with others, except as I may be directed by a supervisory employee of the City. If I am in doubt as to whether personal information is confidential in a particular case, I agree to keep the information confidential until such time as a supervisory employee determines that it is not.

5. I understand that background or security checks will be conducted as deemed necessary. I authorize the City of Wilsonville to make any necessary and appropriate investigation to verify the information contained herein. I hereby confirm, represent and warrant that I have never been convicted of or charged with a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or any sexual offense, nor have I ever been ordered by a court to receive psychiatric or psychological treatment in connection therewith.

6. I grant full permission to the City for use of any photographs, videotapes, recordings, or any other record of my volunteer acts for any purpose.

Parental Endorsement

THIS PARENTAL ENDORSEMENT MUST BE COMPLETED IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE.

I have read and understand the above VOLUNTEER AGREEMENT and agree to its provisions as they apply to my child, and also agree to be fully bound by them. I certify that my child is physically capable and medically able to participate in these activities. I further assume full responsibility for my child relating to any and all terms and conditions covered by this Volunteer Release.

Electronic Signature Agreement

By selecting the "Submit" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Submit" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a keypad, mouse, or other device to select an item, button, icon, or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgment, consent terms, disclosures, or conditions constitute your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third-party verification is necessary to validate your E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your E-Signature. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.