Skip to Main Content
Loading
Loading
Your Government
Your Community
Services
Visit Snoqualmie
How Do I...
Search
Home
Forms Center
Forms Center
Search Forms:
Search Forms
Select a Category
All Categories
Building Division
City Clerk
Comprehensive Plan Docket Form
Concerns & Questions
Finance
Fire Department
Meeting Room Requests
Parks
Planning
Police Department
Public Records Requests
Public Works
Special Events
Utility Billing
Volunteering
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Adopt-a-Park or Trail Program - Volunteer Criminal History Information
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
In compliance with RCW 43.43.830-845, volunteers who will have regularly scheduled, unsupervised contact with children under 16 years of age and developmentally disabled persons and/or vulnerable adults as defined in state law will be asked to disclose the following information.
Full Legal Name
First Name
*
Middle
Last Name
*
Alias / Maiden Name
First Name
Middle
Last Name
Street Address
*
City
*
State
*
Zip
*
Work Phone
Home Phone
*
Email
*
Social Security Number
*
Date of Birth
*
Date of Birth
Driver's License Number
*
State
*
Expiration Date
*
Expiration Date
Have you ever been convicted of any crime against children or other persons, as defined in RCW 43.43.830?
*
No
Yes
Have you been convicted of crimes relating to financial exploitation where the victim was a vulnerable adult?
*
No
Yes
Have you been found in any dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor?
*
No
Yes
Have you been found by a court in a domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor?
*
No
Yes
Have you been found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person, or to have abused or financially exploited a vulnerable adult?
*
No
Yes
Have you been found by a court in a protection proceeding under Chapter 74.34 RCW, to have abused or financially exploited a vulnerable adult?
*
No
Yes
Answering YES to any of the above inquiries will not necessarily disqualify you from volunteering at the Snoqualmie Parks and Recreation Department, but will require the City of Snoqualmie to make further inquiries before you will be permitted to begin your activities on its behalf. The City of Snoqualmie shall make an inquiry to the Washington State Patrol regarding an applicant's conviction record, disciplinary board final decision, or civil adjudication record. Applicants will be notified of the State Patrol's response within 10 working days of receipt of this information by the City of Snoqualmie. A copy of the response will be available to the applicant.
Agreement
I acknowledge that I have read the entire Notification and Authorization for Background Investigation Disclosure Statement, that I understand the requirements, and I grant permission to the City of Snoqualmie to make inquiry to the Washington State Patrol under the provisions of this law. Pursuant to RCW 9A.72.085, I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
I agree.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Agendas &
Minutes
Watch
Meetings
Contact Us
Emergency
Alert
Online Payment
Pay Your Bill
Parks & Trails
Find a Park or Trail
Stay Connected
What's Going On
Document Center
Search for a Document
Calendar
Find a Meeting or Event
Explore Snoqualmie
Discover Your City
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow