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It is understood that there will be no compensation for the services provided. Print Legal Name of Volunteer Volunteer Signature Address xxx-xxSSN last 4 digits only City State Zip Code Phone Type or Student/Employee ID Cell Home Other The following is to be completed by the department/area designee Department and Area Instructor/Coach i.e. PE/Athletics Water Polo Volunteer Start/End Dates to Use full dates i.e. 8/1/2012 to 12/14/2012. New Chaffey Community College District Returning Rancho Cucamonga CA VOLUNTEER SERVICES AGREEMENT CHAFFEY COMMUNITY COLLEGE DISTRICT The undersigned does hereby agree to provide volunteer services. Assignment must end by the last day of the current academic year Will the volunteer be driving a district vehicle Yes No If yes please provide a brief explanation of the driving activity and location Volunteer services to be provided Approved by Print Name First-Level Manager/Designee Signature Date First-level manager signature not required for faculty participating in Faculty Senate or CCFA designated committee appointments. Volunteers are subject to fingerprint clearance and if driving a DMV clearance prior to their start date. Whenever possible volunteers should be ratified by the Board prior to their start date but MUST be ratified no later than the month following their start date. HR Office Use Only Fingerprint clearance date Cart Form Department notified date DMV Clearance Governing Board date Workers Comp information Volunteers Only NEMP OTDT PREM TERM Current employee volunteers HR/dp 10/12. Assignment must end by the last day of the current academic year Will the volunteer be driving a district vehicle Yes No If yes please provide a brief explanation of the driving activity and location Volunteer services to be provided Approved by Print Name First-Level Manager/Designee Signature Date First-level manager signature not required for faculty participating in Faculty Senate or CCFA designated committee appointments. Volunteers are subject to fingerprint clearance and if driving a DMV clearance prior to their start date. Volunteers are subject to fingerprint clearance and if driving a DMV clearance prior to their start date. Whenever possible volunteers should be ratified by the Board prior to their start date but MUST be ratified no later than the month following their start date. Whenever possible volunteers should be ratified by the Board prior to their start date but MUST be ratified no later than the month following their start date. HR Office Use Only Fingerprint clearance date Cart Form Department notified date DMV Clearance Governing Board date Workers Comp information Volunteers Only NEMP OTDT PREM TERM Current employee volunteers HR/dp 10/12. Assignment must end by the last day of the current academic year Will the volunteer be driving a district vehicle Yes No If yes please provide a brief explanation of the driving activity and location Volunteer services to be provided Approved by Print Name First-Level Manager/Designee Signature Date First-level manager signature not required for faculty participating in Faculty Senate or CCFA designated committee appointments. Volunteers are subject to fingerprint clearance and if driving a DMV clearance prior to their start date. Whenever possible volunteers should be ratified by the Board prior to their start date but MUST be ratified no later than the month following their start date.

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