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Volunteer Application

>Volunteer Application
Volunteer Application 2022-10-14T15:42:02-08:00

Application for Volunteers

Instructions: Please fill out application completely; an incomplete application may disqualify you. Volunteering may be contingent on the successful completion of a background check. You will be contacted if you are selected. Volunteering is contingent upon providing the required documentation, if documentation is necessary and requested. If you require any accommodation to complete the application or interview process, please call the WAPC Administration at (206) 517-2350.


Are you age 18 or older?(Required)
Emergency Contact Name Information


Work Availability(Required)
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I understand that volunteering may be contingent on the successful completion of a background check, which will be determined by the WAPC, and my volunteer commitment will be of indefinite duration. The Washington Poison Center or applicant will be free to terminate this volunteer relationship at will, and at any time. I certify that the information set forth in this application is true and complete to the best of my knowledge. I understand that I will be subject to immediate dismissal if I have made any false statements, misrepresentations, or provided incomplete information in this application. I authorize the Washington Poison Center to check all information contained in or related to this application. I release the Washington Poison Center and any individuals or organizations providing references or background information from any liability arising out of giving or receiving of such information.
By typing my name on the signature line above I attest that the information entered is true and accurate to the best of my knowledge and belief.
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