Application & Agreement to become a Volunteer or Intern

Volunteer / Internship Application and Agreement
Thank you for your interest in supporting our mission. We look forward to reviewing your application.

We prioritize applicants who commit to at least 10 hours/week for 12+ weeks. For internships, we require at least 20 hours/week for 12+ weeks. For those who have attended any academic institution in the last 2-4 years, we prioritize those with a 3.4 GPA or above.

Applicants must be at least 18 years of age, or 16-17 years of age with the written permission of a parent/guardian. Please read the terms and conditions below before submitting this form.

If your application is selected, we will be in touch with further information.
Personal Information
Name*

First Name Last Name
Date of Birth*

MonthDay Year
Mailing Address*

Street Address

Street Address 2

City State / Province

Postal / Zip Code Country
Mailing Address: Street Address*
Street Address Line 2*
City*
State/Province*
Postal/Zip Code*
Country*
Primary Phone (US Country Code = +1; Canada Country Code = +1; Australia Country Code = +61; UK Country Code = +44; find other Country Codes at https://countrycode.org/)*

Country Code Area Code Phone Number
Email*

Confirmation Email example@example.com
Demographics

This information is needed for our non-profit status and other metrics, including those established by grants, governmental agencies, and other NGOs.
My preferred pronouns are:*

She/herHe/himThey/themZe/zemOther
Other pronoun(s):
I identify as:*

FemaleMaleNon-binaryTransgenderI prefer not to sayOther
Other gender(s):
I identify as:*

Black or AfricanHispanic or LatinoWhiteAsianAmerican IndianPacific IslanderTwo or more racesUnknownI prefer not to sayOther
Other race(s) and/or nationality(s):
I identify as:*

Heterosexual/StraightGay or LesbianBisexualPansexualI prefer not to sayOther
Other sexual orientation(s):
My current age is:*
Background
Have you ever been convicted of any crime, including speeding violations?*

Yes, only speeding violationsYes, something elseNo
Please explain any criminal convictions, including when, where and what the crime(s) was. Put NA if None. *
Experience & Bio
Current School, Organization or Company Affiliation. (Write N/A if this does not apply).*
Put None if not affiliated.
Name of Most Recent Educational Institution and GPA Earned. (If you haven't been in school for 5+ years, you may estimate your GPA or write "N/A.")*
Upload Your Resume or Transcript*

Browse Files
Both are preferred when available - Use the same button for multiple files. Cancelof
Upload a Profile Picture*

Browse Files

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Provide a 75-150 word bio sketch. Our volunteers and interns are featured on our website and social media using their profile picture and bio sketch.
Availability & Interest
Which of our organizations are you interested in joining? (select all that apply)*

Campus OutreachTake Back The Night
How many hours per week can you commit to volunteering with us?*
For your volunteer hours, the best fit for my schedule is:*

Monday - Friday between 9am-5pm ESTWeekends onlyEvenings onlyWeekends and eveningsOther
Other preferred hours
When can you start?*
Do you have an end date? If so, please list the date.*
If your volunteer/intern hours will be used to fulfill any type of requirement, select ALL of the following that apply to your situation. We must have prior notice of this request before starting your hours with us. If you have a copy of any form that you will need us to complete, upload it below.*

None of the below (does not apply to my situation)School internshipSchool volunteer requirementsSchool senior projectRequesting recommendation for a job or school applicationCommunity service requirement from Department of CorrectionsCommunity service requirement from employerCommunity service requirement from any criminal or civil court mandateCommunity service requirement from a college, university, or school policy violation sanctionsCommunity service requirement from another organization (ie, Boy Scouts, Girl Scouts, and other service organizations)Other mandate to be fulfilled, not described above (explain below)
Other volunteer requirement fulfillment notes
We require a minimum of 6 months volunteer work with at least 360 total hours to be able to provide a recommendation for a job or school application. Are you able to commit to this requirement?*

YesNo
We require a minimum of 3 months volunteer work with at least 240 total hours for a school internship. Are you able to commit to this requirement?*

YesNo
Note: All volunteer/intern positions are virtual. If you require an in-person experience, please do not complete this application. If you have any questions regarding this stipulation, please email us at inspire@takebackthenight.org.
Upload all forms you will need us to complete to fulfill your requirements (as marked above). We will send our time log to track and verify your hours and work progress with your supervisor, if you are selected as a volunteer/intern.

Browse Files

Cancelof
If you are applying for any reason described above, please provide a brief description of your situation. Tell us more about the forms or personal reference you anticipate needing us to complete upon your successful fulfillment of your volunteer/intern hours with us. *
Select the project(s) below with which you can confidently assist. If you are completing this form based on a Volunteer Match opportunity, please select that project and any additional projects below. If you choose "Other," please list the requested project in the "Other" field below.*

Write curriculumEnglish to Spanish translationSocial mediaTranscribe English video into written SpanishT-shirt or logo designTranscribe English video into written EnglishSEOVideo editingResearch sponsor contacts for Excel sheetWebsite designResearch yoga studios for Excel sheetSalesforce expertiseResearch school contacts for Excel sheetNewsletter article writingOther (describe below)
Provide any additional information about your skills, talents, and interest in volunteering with us. *
(Optional) Please add any specific recommendations for improvement to our website (takebackthenight.org) or social media presence.
Stay Connected
Share your LinkedIn Account (optional):
Share your Facebook Account (optional):
Share your Twitter Account (optional):
Share your Instagram Account (optional):
Which of our newsletters would you like to receive? (select all that apply)

Campus Outreach ServicesTake Back The Night
Would you like to become a Fan (free) and receive the Take Back The Night newsletter?*

YesNo
Please Follow Us and Help Raise Awareness!
Terms & Conditions
1. REQUIREMENTS FOR VOLUNTEER WORK OR INTERNSHIP

I agree to provide Take Back The Night Foundation (TBTNF), Campus Outreach Services (COS), and/or any of their affiliates, subsidiaries, supporting and/or sponsoring organizations, or otherwise related organizations (hereinafter, collectively, ORGANIZATION) with work products, such as written works, editing, research, images, videos, and other projects as described in correspondence between the ORGANIZATION and myself (hereinafter, VOLUNTEER). VOLUNTEER will be responsible for editing work products, generating final edited materials, and demonstrating excellence in attention to detail, spelling, grammar, honesty, integrity, and any other skills in keeping with ORGANIZATION’S standards for excellence. VOLUNTEER may not reassign any task for completion under this agreement to anyone else with express written permission from ORGANIZATION.

2. TERM OF AGREEMENT

This Agreement covers the time period, number of hours, and/or project duration as agreed to by VOLUNTEER via email and other correspondence between ORGANIZATION and VOLUNTEER. ORGANIZATION retains the right to terminate this Agreement immediately, if VOLUNTEER acts in a manner which violates the standards or compromises the reputation of ORGANIZATION, or if VOLUNTEER submits any false information, plagiarized materials, or otherwise untruthful or dishonest material, especially, but not limited to, any work performed under this Agreement, at any point prior to or during VOLUNTEER’s work with ORGANIZATION.

3. QUALIFICATION FOR REFERENCES AND INCLUSION ON RESUME

Upon successful completion of all responsibilities and obligations under this Agreement and with final written approval from ORGANIZATION, VOLUNTEER may then include this volunteer or intern experience on their resume or other profiles. To list ORGANIZATION as a volunteer or internship experience on a resume, VOLUNTEER must have completed:
- 120 hours for listing a volunteer experience on VOLUNTEER'S resume
- 240 hours for listing an internship on VOLUNTEER'S resume
- 360 hours for requesting a recommendation for a job or school application from ORGANIZATION
- All hours must be verified by ORGANIZATION, with hour log set up prior to start of work with ORGANIZATION.
- To list a volunteer experience or internship on any platform or document requires the above in addition to receiving written approval by ORGANIZATION.
Verification of hours requires weekly reports submitted to a direct supervisor of ORGANIZATION, who then approves the completed hours. VOLUNTEER understands that no financial support is provided for work under this agreement. If VOLUNTEER needs ORGANIZATION to complete a form for any third party related to verification of volunteer/internship hours, this must be provided to ORGANIZATION prior to beginning the documented volunteer/internship hours.

4. NOTIFICATION

Any written notification required hereunder to ORGANIZATION shall be personally served or mailed by certified mail, return receipt requested, to the following: Campus Outreach Services; PO Box 332; Wayne, PA 19087.

5. COPYRIGHT AND INTELLECTUAL PROPERTY

ORGANIZATION shall own, solely and exclusively, the copyright, all copyright rights, any trademarks, or patents to any written material, codes, applications, or other deliverables produced by VOLUNTEER under this Agreement and/or on behalf of ORGANIZATION. ORGANIZATION shall own, solely and exclusively, the copyright and all copyright rights to any program material that ORGANIZATION provides to VOLUNTEER to use during any work performed under this Agreement.

6. CONFIDENTIALITY AND NON-COMPETE

The VOLUNTEER shall use VOLUNTEER’s best efforts to keep confidential any information about ORGANIZATION’s clients, business ideas, employees, contacts, or the like; provided by ORGANIZATION or any similar oral information conveyed to VOLUNTEER. VOLUNTEER agrees not to use, either personally or on behalf of any other party; disseminate, or in any way disclose any confidential Information of ORGANIZATION to any person, firm or business, except to those employees and agents of VOLUNTEER whose knowledge of the confidential Information is required in order for VOLUNTEER to complete projects and must have prior written approval from ORGANIZATION to do so. VOLUNTEER agrees to: (a) hold all Confidential Information in confidence; acknowledge the ORGANIZATION’S proprietary rights therein and shall exercise at least the same care with respect thereto as it exercises with respect to VOLUNTEER’s own confidential information, but in no event with less than reasonable care; (b) take all reasonable measures to protect the secrecy of and avoid disclosure or use of Confidential Information in order to prevent any Confidential Information from falling into the public domain or the possession of unauthorized persons; and (c) not use, disclose or disseminate or allow to be disclosed or disseminated any Confidential Information to any third party without the prior written consent of ORGANIZATION. VOLUNTEER agrees to notify the ORGANIZATION of any misuse, misappropriation or unauthorized disclosure of any Confidential Information promptly upon becoming aware of any such misuse, misappropriation or unauthorized disclosure by any person including the VOLUNTEER.

7. NON-WAIVER

Waiver or non-enforcement by either party of a term or condition shall not constitute a waiver or a non-enforcement of any other term or condition or of any subsequent breach of the same or similar term or condition.

8. RIGHT TO AMEND

ORGANIZATION retains the right to update or amend any provision in this Agreement at any time.

9. ENTIRE AGREEMENT

This Agreement contains the entire Agreement between the parties and supersedes any other written or oral agreements with respect to the subject matter herein.

10. APPLICABLE LAW

This Agreement shall be deemed to be made in, and in all respects shall be interpreted, construed and governed by and in accordance with, the laws of the Commonwealth of Pennsylvania, without regard to any principles governing conflicts of laws or cannons of construction interpreting written agreements against the draftsperson. Any dispute arising out of this Agreement shall be brought in a court of competent jurisdiction in the Commonwealth of Pennsylvania.

11. ORGANIZATION PROPERTY

VOLUNTEER agrees to keep confidential and return to ORGANIZATION upon termination of this Agreement any property and materials belonging to ORGANIZATION, including but not limited to: manuals, applications, data, software passwords or codes, videos, trade secrets and confidential information, forecasts, names and addresses of ORGANIZATION customers/clients and potential customers/clients, customer/client contacts, sales information, sales forecasts, memoranda, marketing brochures, business or marketing plans, reports, projections, ORGANIZATION contracts with customers/clients or other parties, and any other information or property previously or currently held or used by VOLUNTEER that is or was related to VOLUNTEER’s relationship with ORGANIZATION. VOLUNTEER agrees to not to use any of ORGANIZATION'S property in any other capacity without express, written permission from ORGANIZATION. VOLUNTEER also agrees to cease use of email addresses, passwords, codes, and any other applications or accounts provided to VOLUNTEER by ORGANIZATION under this Agreement.
Please read the terms and conditions above and respond below:*

I hereby agree to the Terms and Conditions of Volunteering as listed above.
Are you of legal consenting age or acting with permission of a parent or legal guardian?*

I am at least 18 years of age, and am acting in my capacity as a legal adult in signing and agreeing to the terms of this form submission.I am less than 18 years of age, and as a minor have the permission of a parent or legal guardian to sign and agree to the terms of this form submission.
Please sign below to confirm your Agreement to the Terms and Conditions above:*

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PARENTAL PERMISSION

I have reviewed the responsibilities and activities of TAKE BACK THE NIGHT FOUNDATION (TBTNF) volunteers, and understand that I am encouraged to ask questions about any part of the volunteer program at any time. I agree to bring my questions or concerns to the attention of a TBTNF representative should any arise. I understand the terms and conditions for my child to participate in the TBTNF volunteer program and agree to support my child in completing and abiding by these terms.

I understand that as a minor (age less than 18 years), the above-named child is not permitted to participate in this volunteer program without my consent and authorization. Therefore, by signing this form, I give my consent for my child’s participation in this program and provide my authorization for my child’s full participation in all aspects of the project, which may include interactions with survivors of sexual violence, research on sexual violence and other sensitive topics and other projects which could be triggering or emotionally challenging.
Please have your parent/guardian sign below to confirm Agreement to the Terms and Conditions above:*

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Volunteer / Internship Application and Agreement

Terms & Conditions