City of Jacksonville
Disabled Services Division
                                                        Volunteer Application
Application for membership as an Auxiliary Parking Enforcement Officer

Personal References

Work Experience

If yes, please explain:

(Please give date, nature or offense and disposition)

It is mandatory that everyone must attach a medical statement from your doctor declaring that participation as a Title III Support Officer will not adversly affect your health.

I verify that all information given in this application is true to the best of my ability. I authorize contact of listed references. I understand that misrepresentation or omission of facts requested is cause for non-appointment as a City of Jacksonville volunteer or for termination after appointment.


The City of Jacksonville encourages persons with disabilities to participate in its programs and activities. Requests for an accommodation should be submitted to the Disabled Services Division within a reasonable amount of time by contacting:
Kevin McDaniel
904-630-4940 (Phone)
904-630-4933 (TTY)