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.
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.
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.
This field is not part of the form submission.
* indicates a required field