Love Your Block Volunteer Registration

Love Your Block Volunteer Registration

Thank you for your interest in volunteering with Love Your Block! Please fill out the below form and specify which volunteer opportunity you would like to attend. We will reach out to confirm attendance and/or provide updates as the date approaches.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Power ToolsTree PlantingCarpentryOutdoor PaintingShrub TrimmingGardeningLifting Objects 50 lbs +Lifting Objects 25 lbs+
Please list any other skills you believe could be beneficial:
WeeklyMonthlyOne or two occasionsSpecific Timeframe
YesNo
If yes, please provide the number of children attending and their ages:
YesNo
Important Considerations

As a volunteer, you may come in contact with potentially hazardous materials like broken glass, needles, and other rusted/sharp metal. The Love Your Block Team will provide all volunteers with adequate training measures and equipment in order to safely navigate any potentially harmful objects. While being aware of the material environment of these neighborhoods, the Love Your Block Team also advises all volunteers be mindful of the larger history and context of the neighborhood(s) while offering their time. Arbor Hill, West Hill, North Albany, and the South End neighborhood and residents have been and continue to be harmed by structural racism. As a result of structural and institutional racism, many of Albany’s low income and majority-minority residents have high instances of blight, food apartheid, homelessness, and housing insecurity. As a volunteer, we ask that you are respectful, open minded, and conscious of your presence in the community and the history of structural racism and its effects in the community. All Love Your Block volunteers are to treat all community members regardless of their race, ethnicity, gender, socio-economic standing with respect and dignity at all times.
Volunteer Waiver
By signing this document you are agreeing to potentially come in contact with hazardous items and acknowledge that you understand the health and safety risks that volunteering may pose. You will not fault the Love Your Block program for any mishandling of these objects after receiving designated trainings and will immediately report any issue or injury to either a Love Your Block team member or Volunteer Lead and fill out an incident report. You will show up on time and give your best for the entirety of all volunteer shifts you have committed to unless there are outstanding circumstances that prevent you from doing so. If an emergency situation occurs that prevents you from volunteering, you will report immediately to either a Love Your Block team member or Volunteer Lead.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Love Your Block Volunteer Registration

Emergency Contact