Volunteer Form

Thursday, November 21, 2024

Please complete this form for an individual (non-UA-PTC student) providing services to UA - Pulaski Tech as a volunteer (not including camps). Volunteers may not provide services to the college until a background check has been completed and approved. An e-mail will be sent to the volunteer's personal e-mail address provided on this form from the Office of Human Resources that will provide information needed to complete their background check.

Name of Volunteer (non-UA-PTC student):

first and last name

Personal E-mail Address of Volunteer:

Volunteer's Department/Organization Name:

Supervisor's Name:

first and last name

Supervisor's E-mail:

List the duties performed by the volunteer:

List the begin and end dates of service:

Is volunteer receiving any UA-PTC remuneration?

Yes

Remuneration (something of value in exchange for labor or services) can come in many forms, such as money, meals, lodging and other benefits, but does not include gifts. For this purpose, the remuneration must come from UA-PTC sources.

What type of campus access does the volunteer need?

Building/key access

UA-PTC ID card

UA-PTC network access (e-mail, etc.)

Library access

No Campus access needed

Other...

PLEASE REVIEW YOUR CONTENT ABOVE BEFORE SUBMITTING THIS FORM.