Ambassador Volunteer Form

Ambassador Volunteer Form

Thank you for your interest in being an Ambassador for the City of Prescott. Please fill out the below form and we will be in contact.
The City of Prescott Ambassador Program consists of dedicated community volunteers who assist visitors in navigating City Hall. Ambassadors help direct guests to the appropriate departments, connect them with the right staff, and provide information about upcoming meetings and city programs, ensuring visitors have the resources they need for a successful visit.

Please note: This is a pilot program and may be temporary, depending on its success and ongoing community demand.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I am over 18 years old?*

YesNo
At this time we are not accepting Ambassadors under 18 years old. If you are under 18 and would like to know about volunteer opportunities at the City of Prescott, please contact our Human Resources Department at 928-777-1410.
Availability

Please select your preferred shifts to volunteer. Please select as many as applicable.

Skills and Experience

Please list any relevant skills or experience you have that may be valuable for volunteering.
Skills/Experience*
Why do you want to volunteer with us?*
Please describe any accommodations that you may require during your volunteer time:
Are you presently under indictment for, or have you ever been convicted, received deferred adjudication, or entered a guilty plea or nolo contendere for any offense which would be considered or equate to a felony or misdemeanor offense? Note: a “yes” answer will not automatically disqualify you from volunteering with the City of Prescott; each case will be evaluated in relation to the position. Omission, misstatements or falsification of facts will be sufficient cause for cancellation of this application and/or separation from employment.*

YesNo
If yes, please explain. Include dates, places, and nature of offenses.
Is there anything else you would like to tell us about yourself?
Emergency Contact Information

In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.
Volunteer Agreement
By signing below and submitting this form, I agree to the following:
- I agree to commit to a regular schedule of weekly or biweekly shifts
- I understand that completing this form does not guarantee a position as a volunteer and I will need to go through an interview and background check.
  - The City of Prescott requires that all Volunteer Applicants agree to a background check.
  - Interested volunteer applicants will be sent an email from Human Resources to complete a background check form.
- I agree to abide by:
  - The City Core Values
  - Maintain Confidentiality
  - Adhere to the City Code of Ethics
  - Represent the Best Interest of the Citizens of the City of Prescott
- I understand that my volunteer status may be reassessed periodically or as needed.
- I understand that failure to meet these commitments may result in my termination from the program.
Signature*

Clear
Should be Empty:

	8am-11am (Shift 1)	11am-2pm (Shift 2)	2pm-5pm (Shift 3)
Monday
Tuesday
Wednesday
Thursday
Friday

Ambassador Volunteer Form

Availability

Skills and Experience

Emergency Contact Information

Volunteer Agreement