New Volunteer Form with Waiver

Thank you for your interest in volunteering with the JCCH! Volunteers are the backbone of the JCCH and our mission of preserving the Japanese American experience in Hawai‘i.

After submission, we will review your form and forward it to the appropriate department(s) for follow-up. Please note that our needs vary throughout the year based on the availability of volunteer duties. If you have questions, please contact us at info@jcch.com.
Contact Information
Name*

PrefixFirst NameLast Name
Email*
Phone Number*
Phone Type*

MobileHomeOther
Address*

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about this volunteer opportunity?*

Social MediaFamily/Friend/ColleagueJCCH WebsiteWeb SearchOther OrganizationOther
Who referred you?

Background
Have you ever been convicted of a felony?*

YesNo
Please briefly explain the nature of the crime and the date of the conviction. Conviction of a crime is not an automatic disqualification for volunteer work.
Do you have a valid driver's license?*

YesNo

Please list two references:

	Name	Phone Number	Relation to Applicant
Reference 1
Reference 2

Agreement and Signature

Minors under the age of 18 require parental consent.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. By signing below I waive all responsibility of the Japanese Cultural Center of Hawai‘i for any injuries, bodily and/or mentally, that may occur while performing volunteer services which will not be the fault of the Japanese Cultural Center of Hawai‘i. I grant permission to the Japanese Cultural Center of Hawai‘i to use all photographs, videotapes, sound recordings and/or other materials taken of me for promotional purposes.

Our Policy

It is the policy of the Japanese Cultural Center of Hawai‘i to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Your contact information will be shared with the Volunteer Coordinator. The JCCH will not release or publish your contact information without your prior approval.
Printed Name*
Signature*

Clear
Date of Signature*

MonthDayYear

Parental/Guardian Consent for Minors (under 18 years of age)
By signing below, I give my permission for First Name Last Name to take part in all designated volunteer activities associated with the Japanese Cultural Center of Hawai‘i (JCCH) and consent to the above.
Parent/Guardian Printed Name
Parent/Guardian Signature

Clear
Date of Signature

MonthDayYear
Should be Empty:

Contact Information