Thank you for applying to volunteer with the City of Des Moines Parks and Recreation Department. We strive to provide a safe learning environment for youth and adults. 

This Volunteer Application and Background Check were developed with local and national guidance to follow practices that minimize risks, and protect the people we serve, our organization, and all the residents of Des Moines from potential harm. We ask that volunteers that are working at special events, coaching, driving City vehicles or operating City equipment, or working with vulnerable populations complete our screening process. 

Please fill out the application, disclosure, waiver of liability and assumption of risk agreement, and our photo release by entering your information in the form below. Once the form is submitted, you will be sent a confirmation email with further instructions and a set of background check links for the next steps. Please watch your email for this confirmation. Contact us at if you do not receive the confirmation email with links.

The links will then take you to the next step in your process to complete your two-step background check with our Background Investigation Bureau (BIB). As a volunteer, you have a choice to self-pay, or have the organization pay if you are unable to pay the background check fee or would like the City of Des Moines to cover the cost. Self-pay background checks may process faster than organization pay.

As part of the background check process, Background Investigation Bureau (BIB) will also send you State of Iowa paperwork via their SignNow system. That information will go directly back to BIB. Once you complete this form, BIB will send it to the State of Iowa for processing. Please watch your email for this form. The SignNow system will continue to send you reminders from BIB. You have thirty days to complete this step. If you do not complete this portion within the time frame, your background check and application will be canceled and you will not be eligible to volunteer.

*Please enter all information carefully and accurately in each step of the background check process, as errors may cause a delay in your background check being completed.

Once you pass your background check and your application is approved, we will be able to welcome you to our team as a Coach, Instructor, or Special Events volunteer.

COVID-19: In order to comply with emergency proclamations by the Governor or Mayor, as such may be amended from time to time, and as public health guidelines evolve, for the safety of staff and the public, the Parks and Recreation Department reserves the right to cancel at any time. In addition, the Department reserves the right to change the registration requirements at any time. The Department will contact the volunteers as soon as reasonably possible with such cancellation or changes. The City of Des Moines cannot guarantee that the volunteer or any of the event attendees will not become infected with COVID-19. Volunteers and attendees use the City’s facility at their own risk.

What's your email address?

Your information

Required fields are marked with an asterisk (*).
First Name *
Last Name *
Cell Phone *

For example, 123-456-7890
Other Phone (Work, Home):
City *
Zip Code *
Date of Birth *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Emergency Contact Name *
Emergency Contact Phone *
I am interested in leading/coaching/instructing the following: *

Please list any past instructing/coaching experience:
Please list any past experience you have with guiding groups, or leading or working at special events:
Volunteer Application Statement
I understand that as a volunteer with the City of Des Moines Parks and Recreation Department the knowledge I gain regarding the performance, behavior, and personal information of the Vulnerable Populations (children, elderly persons, and persons with disabilities), staff, and citizens with whom I work is confidential and I agree to respect such confidentiality.

I understand that if a child tells me something or I notice something that may indicate his/her safety is at risk or he/she is in emotional distress, I will report that information to the appropriate staff member as soon as possible.

I understand that any contact with children, volunteers, or staff beyond the boundaries of the specific volunteer activity is discouraged, is not a part of the City of Des Moines Parks and Recreation programming, and will not be protected in terms of liability. This includes communication with social media.

I understand that the City of Des Moines Parks and Recreation does not discriminate on the basis of race, color, national origin, gender, disability, religion, creed, age, familial status, sexual orientation, gender identity, and ancestry in its programs and its employment practices.

I understand that submitting this information does not guarantee my acceptance as a volunteer, and that assignment of volunteer work is based on the assessments made by the volunteer coordinator, Director, and staff.

I understand that if I have misrepresented any information and/or fail to adhere to volunteer guidelines, I may have my application approval withdrawn.

I assume full responsibility for my actions and authorize the staff at the site I am volunteering to act on my behalf in the event of an emergency.

I understand that the City reserves the right to complete a background/criminal check at any time. If fingerprints are required, I agree to be responsible for the cost of fingerprinting.

I understand that I am responsible for informing the Park and Recreation Department of any changes to the above information and not doing so will be grounds to terminate my role as a volunteer.
Do you possess a valid teaching license through the Iowa Board of Educational Examiners? *
Please enter your teaching license number: *
Other Interests/Knowledge/Skills/Abilities

I hereby certify that all statements made and information submitted applicable to volunteering with the City of Des Moines, Iowa are true and contain no misrepresentation. *
Applicant Disclosures:
Please Note: The term “convicted” includes a conviction following a trial, a guilty plea, a plea of nolo contendere or no contest, a deferred judgment or adjudication, and an adjudication of guilt or delinquency as a minor or adult. A conviction will not necessarily disqualify an applicant from volunteering. If you fail to report a conviction, you may be ineligible for volunteering regardless of the nature or seriousness of the crime and regardless of the date of the conviction.
Have you ever been cited/fined/arrested for, charged with, or convicted of a criminal offense other than minor traffic violations? *
If yes to the above, please explain and give dates. *
Have you ever been listed on any sex offender registry? *
Have you ever been named in a founded case of child abuse or is there a current child abuse case pending against you? *
Has your driver's license ever been suspended or revoked for any reason? *
I understand that if I'm applying for a position that requires driving a vehicle or equipment, I will be required to submit a copy of a valid driver's license. *
Do you have a clean driving record for the past three (3) years? *
Volunteer Applicant Disclosure
I am aware that all statements I have made and/or information I have submitted are subject to investigation and verification, including a criminal background check.

I understand that any withholding of information or misrepresentation of any statements I have made and/or information I have submitted could result in disqualification or termination of volunteer service.

I understand that I am responsible for informing the City of Des Moines of any changes to the information above and that failure to do so will be grounds to terminate my role as a volunteer.

I understand any offer of City of Des Moines volunteer positions is conditional upon satisfactory background checks, which include criminal, sex offender, and if applicable, driving record; or any other that are deemed necessary by the City.

I understand that the City reserves the right to complete a background/criminal check at any time. If fingerprints are required, I agree to be responsible for the cost of fingerprinting.

I hereby certify that all statements made and information submitted applicable to volunteering with the City of Des Moines, Iowa are true and contain no misrepresentations to the best of my knowledge.

I understand a record of arrest or conviction does not necessarily prohibit me from volunteering and depends on the nature of the offense, the type of service performed, and how much time has passed since the arrest or conviction. Expungement of a conviction record or a deferred judgment does not eliminate the need to disclose those details on this form. This information will be held in confidence, subject to Iowa Code Chapter 22, used only to evaluate applications, and only to the extent permitted by applicable law.
I hereby consent to the City of Des Moines to request information pertaining to my criminal history. I authorize the investigation of all statements contained herein. *


In consideration of me, or my minor child, being permitted to participate in any way in the above named Volunteer Program, I, the Undersigned, for myself and my minor child, all of my or my minor child's, personal representatives, executors, administrators, heirs, next of kin, successors and assigns, herein referred to as "Releasors", do hereby:

1. Acknowledge that this volunteer service carries with it the potential for serious injury, death and/or property damage, and certify as to my physical fitness and that of my minor child to participate and declare that neither I, nor my minor child, have been advised otherwise by a qualified medical professional.

2. Acknowledge, agree, and represent that I and my minor child will, at all times, be aware of the surroundings during the volunteer service and agree that if I or my minor child consider anything related to this Activity to be unsafe, will immediately advise the Activity officials of such, and if necessary, will leave the area or refuse to participate further in the volunteer service.

3. Waive, release and discharge, and covenant not to sue, the City of Des Moines, Iowa, its elected and appointed officials, employees, volunteers, sponsors, and agents, including others who give recommendations, directions, or instructions as part of this volunteer service, hereinafter referred to as "City", from any and all liability to Releasors, except for my minor child, for any and all loss or damage, and any claim or demands therefor, on account of injury to the person, including illness or complications associated with the COVID-19 pandemic, or property or resulting in my death or that of my minor child arising out of or related to the volunteer service, including traveling to or from the volunteer service.

4. Agree to Indemnify and Save and Hold Harmless the City and each of them from any loss, liability, damage, or cost that they may incur arising out of or related to my or my minor child's participation in this volunteer service.

5. Assume full responsibility for any risk of bodily injury, including illness or complications associated with the COVID-19 pandemic, death or property damage arising out of or related to the volunteer service. I agree to comply with all applicable safety rules, including wearing protective clothing, close-toed shoes/boots, safety goggles, gloves, and vest while performing my volunteer activities.

6. Agree that this Release and Waiver of Liability and Assumption of Risk Agreement and Photo Release extends to all acts of negligence by the City, not including gross negligence and willful misconduct, and is intended to be as broad and inclusive as is permitted by law including any governmental immunity afforded the City by law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

7. Authorize any medical treatment, including the administration of anesthesia, deemed advisable by any licensed physician to relieve any injuries received or illness contracted by me or my minor child as a participant in this volunteer service. I hereby agree to pay all costs of any medical treatment or emergency transportation.

8. Authorize and consent to the City, its sponsors, and any news media, and their successors and assigns and those acting under their authority, to take, publish, use in any media, and copyright photographs, videotape or other and audio or visual media, including broadcast in any media, of me or my minor child and agree that such may be used for any lawful purpose without further compensation or approval.