Downside Up Inc Volunteer Application

VOLUNTEER APPLICATION
Today's Date

MonthDayYear
Date
Name:
Date of Birth

MonthDayYear
Date
Second Language (If any):
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Cell):
Phone Number (Home):
Please enter a valid phone number.
Email:
example@example.com
Emergency Contact and Relation:
Phone:
Educational Background:
Are you currently employed? If yes, place of employment and job title?
Previous Employment/Volunteer Experience or Skills:
Are you currently a student? If yes, what grade level and where are you enrolled?
Health and Physical Restrictions (Please list all)
At what times are you interested in volunteering?

Weekdays/AMWeekdays/PMAny DayWeekendsEvents Only
Hours available:
I am only available on (select days)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Programs and Areas of Interest

Fundraising EventsCampsPreschool ProgramsFamily EventsToy LibraryCreative Center Maintenance and CleaningAdministrative DutiesYouth Garden ProgramParent Education Programs/Provide ChildcareAll Programs & EventsBoost ProgramCamp Wakawalu
How did you hear about Downside Up Inc?
Why do you want to volunteer at Downside Up Inc?
What skills and personal attributes do you have that you could contribute to Downside Up Inc? (Such as Graphic Design, Web Design, Writing, Advocacy, Training, Event Planning, etc.)
If you are volunteering with Camp Wakawalu September 6-8, choose one:

I am available all weekend (Friday 5:30p-Sunday 1p) AND I would like to stay overnight.I am available all weekend (Friday 5:30p-Sunday 1p) and I will NOT be staying on site overnight.I am ONLY available on Saturday, September 7th.
Have you ever been arrested for a violation of the law (felony or misdemeanor)?

YesNo
If yes, please explain:
I understand that a criminal background check must be completed and passed before being accepted as a volunteer and that said information will be kept confidential.
Please attach a copy of your photo ID

(ex: drivers license, passport, school or work photo ID)
Cancelof
Applicant Signature:

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Acknowledgement, Release, and Waiver
VOLUNTEER ACKNOWLEDGEMENT

I agree that I am not an employee of Downside Up Inc and am not entitled to receive employee benefits or compensation. I understand that I am not eligible to receive workers' compensation benefits.

AUTHORIZATION TO USE PHOTOS/OTHER RECORDINGS

I grant to Downside Up Inc all rights to all photographic images and videos or audio recordings of me and made by or on behalf of Downside Up Inc in connection to my volunteer service.

PERSONAL INSURANCE

I understand that Downside Up Inc may not have or has no obligation to provide health or liability insurance for volunteers. It is my choice and responsibility to have personal health and liability insurance to cover my health and property (including my vehicle) while volunteering.

RELEASE

I fully RELEASE Downside Up Inc, its successors, assigns, officers, directors, employees, agents, and representatives (collectively, "Released Parties"), from any and all actions, suits, liability, claims, demands, losses, and costs for damages or other legal or equitable relief of any nature, including claims for personal injury, death or property damage, which may arise from any act or omission (excluding acts or omissions involving gross negligence or willful misconduct) of the Released Parties or my volunteer activities affiliated with Downside Up Inc, whether or not foreseeable or contributed by the Released Parties.

CONFIDENTIALITY

I agree that I am responsible for securely maintaining the confidentiality of all proprietary, personal, confidential, or privileged information to which I may be exposed while serving at Downside Up Inc as a volunteer, whether this information involves Downside Up Inc, staff members, volunteers, clients or other persons.

DOWNSIDE UP INC VOLUNTEER POLICIES AND PROCEDURES

I agree to comply with Downside Up Inc Volunteer Policies and Procedures, which are available upon request.

AFFIRMATION OF INFORMATION

The Information provided on this application and any supplement is true, complete and accurate.
Volunteer Name: (please print)
Volunteer Signature:

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PARENTAL APPROVAL - REQUIRED IF APPLICANT IS UNDER 18 YEARS OF AGE

I certify that my child, is fully capable of participating as a Downside Up Inc volunteer without compensation and has my permission to participate as a volunteer for Downside Up Inc. The "RELEASE" provision of this Application shall be fully enforceable as between Downside Up Inc and my child and me. I understand the risks involved with my child being a volunteer.
Parent/Legal Guardian: (please print)
Parent/Legal Guardian Signature:

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VOLUNTEER APPLICATION

Acknowledgement, Release, and Waiver