Adult Application 2026

2026 Sweeny United Adult Volunteer Application

Work Week: June 1-4,2026
First Name*
Last Name*
Address *
City*
Zip*
Cell phone*
Have you worked in Sweeny United before? *
Adults under the age of 21, you may not drive with student volunteers in the car during Sweeny United workdays.
Are you over the age of 21? *
Please Select A Shirt Size*
Carpentry workPaintingYard WorkOther Duties As Assigned By Director
I can work as a team leader/assistant leader.I am available to work all week.I cannot work all week, but I can work certain days.
MondayTuesdayWednesdayThursday
Notes
I, the undersigned, hereby agree to abide by the mission and rules of Sweeny United. As an ambassador to the community, I will exhibit good character and citizenship. I will also participate in orientation, safety training, and will at all times practice good safety habits. I understand that I am taking on a leadership role, and I will take all necessary means to encourage, protect, motivate, and serve, with patience, alongside our student volunteers.
Adult volunteer signature*

Clear
Date*

MonthDayYear
Date
ADULT EMERGENCY AND HEALTH INFORMATION
Your name*
Person to contact in case of emergency*
His/her home phone number(s)*
Your Doctor*
Phone*
Medical conditions, restrictions, allergies
Do You Currently Have Medical Insurance Coverage*
Company (type NA if not applicable)*
Group #. (type NA if not applicable)*
Policy# (type NA if not applicable)*
Insurance verification phone. (type NA if not applicable)*
Name of policy holder. (type NA if not applicable)*
My permission is granted for Sweeny United group leaders, nurses, or sponsors in charge to obtain necessary medical attention in case I become sick or injured. I verify that the above information is correct and I do hereby release and forever discharge all group leaders, ministers, or sponsors of Sweeny United from all and any claims, demands, actions or cause of action, past, present, or future arising out of any damage or injury while participating in any Sweeny United activity or function. I fully release, discharge, and waive any claim or right of action, which I have or might have arising from any negligent acts or omissions of Sweeny United volunteers while participating in any Sweeny United activity.
Volunteer Signature*

Clear
Date*

MonthDayYear
Date
Background Investigation Consent for Sweeny United Adult Volunteers
I hereby authorize Sweeny United volunteers to make an I, (print name) independent investigation of my background, references, character, past employment, education, criminal or police records, including those by both public and private organizations and all public records for the purpose of confirming the information contained on my volunteer forms and/or obtaining other information which may be material to my qualifications as a volunteer with Sweeny United. I release Sweeny United and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all the above referenced sources used.

The following is my true and complete legal name and all information is true and correct to the best of my knowledge.
Print Full Name (include middle name)*
Date of birth*

MonthDayYear
Date
Phone number*
Maiden name or other names used*
Address*

Present street address

Street Address Line 2

City/State/Zip codeState / Province

Postal / Zip Code
Length of time at present address*
Former Address*

Former street address

Street Address Line 2

City/State/Zip codeState / Province

Postal / Zip Code
Length of time at former address*
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

2026 Sweeny United Adult Volunteer Application

Work Week: June 1-4,2026

Adults under the age of 21, you may not drive with student volunteers in the car during Sweeny United workdays.

ADULT EMERGENCY AND HEALTH INFORMATION

Background Investigation Consent for Sweeny United Adult Volunteers