Volunteer Application

Preferred Name(Required)

Preferred First Name

Preferred Name(Required)

Last Name

Pronouns

Phone(Required)

Email(Required)

Date of Birth(Required)

You must be at least 16 years old to volunteer with Inclusive Communities. Minors under the age of 18 must have consent from a parent/guardian.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you learn about Inclusive Communities?

Have you ever participated in an Inclusive Communities event? If, Yes, please specify.

Is there a particular Inclusive Communities program you would like to volunteer for?(Required)

Will you agree to a background check?(Required)

Yes

Demographic Information (Optional)

Ethnicity/Race

Faith/Religion/Spiritual Belief

Gender Identity

Sexual Orientation

Describe any accommodations you may need to perform volunteer functions

Other Personal Identity

Education + Employment (Optional)

Employment/Education Status

Full-time student

Part-time student

Work full-time

Work part-time

Not currently in school

Not currently employed

Check all that apply

Name of Educational Institution/Organization (if applicable)

Consent + Waivers

I am over 18 years(Required)

I am over 18 years

Yes

If under 18 years, I have the consent of my parent/guardian(Required)

Yes

Not Applicable

Parent/Guardian Name

Patent/Guardian First Name

Parent/Guardian Name

Parent/Guardian Last Name

Parent/Guardian Phone

Volunteer Transportation Agreement(Required)

I have read and acknowledge agreement

I am aware that at any given time, I may be transporting / or may be transported by another volunteer or Inclusive Communities staff member. I release Inclusive Communities, its officers, board members, volunteers, agents, employees, licensees and assignees from all claims that I (or my child) may have, for any cause of an accident resulting in damages while myself (or my child) are being transported. This consent and release shall continue in effect, without a limitation of time. I have read the above statement, and release those mentioned above if there is any minor or major accident that may occur.

Media Waiver(Required)

I have read and acknowledge agreement

I understand that as a volunteer, along or with other participants and/or Inclusive Communities staff, volunteers or representatives, I may be interviewed, may provide written or oral statements, and/or may be photographed, recorded on film, audio tape, videocassette, or other visual and sound, computerized, telephonic, voice-mail or tape media (“photographs and/or sound/image recordings”) by Inclusive Communities and/or others approved by Inclusive Communities.

I hereby consent to the foregoing and grant permission, without reservation, to Inclusive Communities and/or those approved by Inclusive Communities to generate, prepare, advertise, describe and/or publicize Inclusive Communities and its work, good will, public education and/or fundraising activities, disseminate, otherwise use and comment upon the photographs and/or sound/image recordings as they may determine, without review by myself and without financial or other obligation of any nature to me.

I consent that the applicant may be identified by name, age and place of residence or otherwise, as Inclusive Communities and/or those approved by Inclusive Communities may determine, as a participant roster will be distributed to other attendees for future communication purposes after the program has adjourned.

I release Inclusive Communities, its officers, board members, volunteers, agents, employees, licensees and assignees from all claims that I (or my child) may have, for any cause of action arising out of the taking and/or use of photographs and/or sound/image recording as set forth herein. This consent and release shall continue in effect, without a limitation of time.

"*" indicates required fields

First Name

Last Name

Email*

Phone

This field is for validation purposes and should be left unchanged.