ANNA MAE SONFLOWER VOLUNTEER APPLICATION

Anna Mae Sonflower Seeds is a 501(c)(3) organization.

Our Vision To create maternal health and wellness programs and foster creative, safe, and brave spaces where African American and Latino women and children can grow, heal, and break the cycles of historical trauma that hinder their families and communities from thriving.

Our Mission
We fulfill our mission by nurturing the holistic growth of individuals. This includes providing training, coaching, educational support groups, perinatal doula care, literacy initiatives, art workshops, and mindfulness practices designed to impact and empower all families.
Educational Background:
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:
Are you currently employed? If yes, place of employment and job title?
Previous Employment/Volunteer Experience or Skills:
Are you or have you been a client at the Anna Mae Sonflower Seeds within the last year? Yes/No

YesNo
VOLUNTEER APPLICATION
At what times are you interested in volunteering? Typical hours of operation are T-F 10:00 am-3:00 pm and Saturday by appointment only.

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

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Have you even been arrested for a violation of the law (felony or misdemeanor)?

YesNo
If yes, please explain:
I understand that a criminal background must be completed and passed before being accepted as a volunteer and that said information will be kept confidential.
1.How did you hear about the Anna Mae Sonflower Seeds ?
2.Why do you want to volunteer at the AMSS?
3.Please list your areas of interest: Administrative, Fund Raising, Event Planning, Women and Children Advocate, Marketing, Group Facilitation, Coaching
4.What skills and personal attributes do you have that you could contribute to AMSS? Such as Graphic Design, Web Design, Writing, Advocacy, Training, Event Planning, etc
5.What do you hope to gain from your volunteer experience?
6.Please list any relevant experience, work, or coursework (paid/unpaid)?
7.Do you have reliable transportation?
VOLUNTEER ACKNOWLEDGEMENT, RELEASE, AND WAIVER
8. Volunteer Representations and Warranties regarding Criminal Conduct. Volunteer represents and warrants that they have never been convicted and is not currently under investigation for a crime of violence, including, but not limited to, assault, child abuse or neglect, child abduction, or kidnapping, nor has Volunteer been ordered by a court to receive mental health treatment in connection with any of the preceding.

9. Release of AMSS: Volunteer acknowledges that the Volunteer Activities include a diverse range of activities that could result in harm or injury to Volunteer, whether physical or mental, loss or damage to Volunteer’s personal property, or Volunteer’s death. Volunteer, on behalf of themself and anyone who obtains any rights from Volunteer, at this moment forever releases and discharges AMSS and its parents, subsidiaries, affiliates, directors, officers, employees, agents, partners, administrators, volunteers, insurers, or successors, or the assigns of any of the preceding (each a “Releasee”), from, and agrees not to sue any of the Releasees for, any liability, claims, demands, losses, damages, costs, or expenses (including, without limitation, attorney’s fees) arising out of or in any way related to Volunteer’s participation in the Event and related activities, including without limitation the Volunteer Activities.

10. Governing Law. This Release shall be governed by and construed by the laws of the State of New Jersey. Exclusive jurisdiction and venue for any dispute concerning this Release shall be in the federal or state courts in the County of Burlington, New Jersey

11. Signatures. Volunteer agrees further that if Volunteer is under 18, Volunteer’s parent or legal guardian will also sign this Release.

IN WITNESS of which, Volunteer and Volunteer’s parent or legal guardian, if Volunteer is under 18, have executed this Acknowledgement, Release, and Waiver to be effective as of August 1, 2023, By signing this Acknowledgement, Release, and Waiver, Volunteer and Volunteer’s parent or legal guardian, if applicable, acknowledge that he/she/they have read, understand, and voluntarily agree to its terms.
Please attach a copy of your photo ID

(ex: drivers license, passport, school or work photo ID)
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Volunteer Name: (please print)
Applicant Signature:

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Volunteer's Signature

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Parent of Legal Guardian Signature

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Volunteers Under 18

Note: If volunteer is under the age of 18, this Release should also be signed by volunteer's parent or legal guardian.
Should be Empty:

VOLUNTEER APPLICATION

VOLUNTEER ACKNOWLEDGEMENT, RELEASE, AND WAIVER

Volunteers Under 18