Volunteer

1. Contact & Personal Information

Full Name *

Date of Birth *

Email Address *

Phone Number *

Residential Address

2. Emergency Contact

Emergency Contact Name & Relationship *

Emergency Phone Number *

3. Program & Campaign Preferences

Select your areas of interest (select all that apply):

Healthcare Services: Medical outreach support, health education, administrative triage, or first-aid assistance.

Community Development: Food drives, local infrastructure support, event coordination, or community outreach.

Education Initiatives: Tutoring, mentoring, after-school program support, or administrative aid.

4. Availability

Preferred Days & Time Slots:

Weekdays (Morning) Weekdays (Afternoon) Weekdays (Evening) Weekends (Morning) Weekends (Afternoon) Weekends (Evening)

Commitment Type *

One-time event help Short-term project campaigns Ongoing weekly support

5. Skills & Experience

Background / Profession

Relevant Skills

Previous Volunteer Experience

6. Screening & Background Checks

Screening Consent: Are you willing to undergo a standard background check if required for your preferred role? *

7. Agreements, Waivers & Signature

Liability Waiver

I acknowledge and agree that volunteer activities may involve risks of injury. I agree to release, indemnify, and hold harmless the non-profit organization, its directors, officers, and coordinators from any liability, claims, or losses arising out of my participation.

I read, understand, and agree to the Liability Waiver *

Photo/Media Release

I consent to and authorize the use of any photos, videos, or recordings of me taken during volunteer activities for promotional, educational, or marketing purposes.

I agree to the Photo/Media Release

Electronic Signature (Type Full Name) *

Date *

We’re Ready to Help

Why Volunteer

Opportunities

Volunteer Application