Chessed vs COVID-19

Volunteer Application

Chesed vs COVID-19
Chesed vs COVID-19 is a volunteer opportunity to help run errands for people who cannot leave their homes. You can help deliver goods to our community’s most vulnerable. Volunteers of Chesed vs COVID-19 will be given exclusive volunteering-only shopping hours at No Frills.

This initiative is open to all University students across Toronto.
General Information
Name*

First NameLast Name
Email*
example@example.com
Birthdate*

MonthDayYear
Date
MaleFemalePrefer not to sayOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Campus*
Estimated Grad Year*
Phone Number

Area CodePhone Number
Undergrad StudentGraduate/Professional StudentAlumnus/AlumnaOther

Participation Commitment and Waiver Form
I, the undersigned, acknowledge that my participation in volunteering with Hillel Ontario is voluntary and at my own risk. I affirm that I am physically healthy, am exhibiting no symptoms of cough or fever, and have not returned from outside of Canada in the past fourteen days. If at any time my health condition changes, I will inform Hillel Ontario immediately and cease my volunteer responsibilities.

I affirm that I have not been closer than six feet to anyone other than the people with whom I’m living. I affirm that I have adhered to all social distancing and other health policies as set by the federal and provincial governments and am able to volunteer my services.

I also agree, during my time as a volunteer with Hillel Ontario and after, to hold in confidence all information relating to the affairs of Hillel Ontario and of any individual with whom Hillel Ontario has dealings, in which confidential information was observed, communicated, derived, or otherwise obtained by the volunteer in any form, whether written, verbal, computer-generated or otherwise, during or as a result of my volunteer work. This includes all personal and identifying information relating to any individual with whom I come into contact during my volunteer work.

While I am volunteering with Hillel Ontario, I will adhere to all guidelines from federal and provincial authorities and will:
- Wear a mask to cover my face and nose and gloves on my hands
- Wash my hands with soap regularly
- Cough or sneeze into my elbows and
- Practice physical distancing, including staying a minimum of six feet away from other individuals.
Hillel Ontario shall not be liable or responsible for any loss, damage, or illness that I may sustain to my person or property, or for any loss or damage by reason of any modification, curtailment or arrangement pertaining to the services or facilities to be provided by Hillel Ontario in connection with my participation in the program.

I hereby grant the permission, without reservation, to Hillel Ontario to take and to use photographs and/or sound/image recordings of me, to describe and to use the same for the promotion of goodwill, public education, and/or fundraising and other related activities of Hillel Ontario, and I waive any right to inspect or approve the photograph(s) or finished version(s) of works, including website, incorporating the photograph(s).
Name*

First NameLast Name
Date*

MonthDayYear
Date
I am of full age and competent to sign this release. I agree that this release shall be binding on legal representatives, my heirs, assigns, and me. I have read this release, and I fully understand its contents.
Signature*
Should be Empty:

Volunteer Application

General Information

Participation Commitment and Waiver Form