2022 Vol Application and Waiver

One ACRE Café Volunteer Application for 2022

Must Be Read/Signed, returned to One Acre Café before Volunteering

First

Last

Street

City

State

Zip

Phone #

Email

example@example.com

Date of Birth

Date

Age when Applying

Pronouns

Emergency Contact Name

Phone #

Relationship to Emergency Contact

Why would you like to volunteer at One Acre Café? What attracted you to One Acre Cafe? What do you hope to gain from your experience with us?

Type of Service Tell us the type of community service you wish to perform:Example: School/Class Requirement, Court/Judiciary Required Service, Other (please explain)

Will you be serving with a group? If so, please tell us about your group. (Name, # of people, group contact info)

Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction. Conviction of a crime is NOT an automatic disqualification for volunteer work.

I understand and agree that submitting this application form does not automatically register me as a One Acre Cafe volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By signing below, I am also giving One Acre Café the right to take and use photos/videos taken during the day’s activities for promotional purposes.

By signing this form, I attest that the information I have provided on the form is true and accurate.

Print Name

Signature

Clear

Date

Parent/ Guardian Signature:

If under 18, a parent/guardian must sign this document and fill out a Minor Waiver Form. If under 16, volunteer must be accompanied by a parent/guardian at all times.

Parent: Print Name

Parent Signature

Clear

Date

Health Policy Agreement [separate document]

By initialing this page, I agree that I have read, understood and will comply with One Acre Café's Health Policy.

INITIAL

DressCode Agreement [separate document]: By initialing this page, I agree that I have read, understood and will comply with One Acre Café's Dress Code Policy.

INITIAL

One ACRE Café Volunteer Waiver Form

Must Be Read/Signed, returned to One Acre Café before Volunteering

I understand that my work is voluntary and that some risks may occur due to the nature of the work in One Acre Café or at a One Acre Café sponsored event.

I understand and assume these risks and hereby release One Acre Café and its officers, directors, employees, affiliates, or agents from any and all liability regarding the volunteer effort with One Acre Café.

I agree to save and hold each of them harmless from and against all claims, costs, expenses, demands, and actions with the volunteer effort.

By signing below, I am also giving One Acre Café the right to take and use photos/videos taken during the day's activities for promotional purposes.

By signing this form, I attest that the information I have provided on the form is true and accurate.

Print Name

Signature

Clear

Date

Parent Guardian Signature:

If under 18, a parent/guardian must sign this document and fill out a Minor Waiver Form. If under 16, volunteer must be accompanied by a parent/guardian at all times.

Parent: Print Name

Parent Signature

Clear

Date