GLSEN LA Volunteer Interest Form

GLSEN LA Volunteer Interest Form

Filling out this form does not guarantee that you will be chosen to volunteer for a GLSEN LA event. Volunteers must be 18+. Preference will be given to those who have recently completed a background check and/or have previous experience working with K-12 students.
Do you want to be involved on a more consistent basis? Submit your interest in becoming a Chapter Member here https://bit.ly/glsenLAmember Youth (<18 years old) must complete the Chapter Member Interest Form along with their parent or guardian. Parent/guardian signature is required. Read more about Open Chapter Member Roles.
Volunteer's Information
Full Legal Name*

First NameLast Name
Preferred Name*

First NameLast Name
Pronouns*
Email Address *
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Enter your date of birth. If you are <18, you will not be able to volunteer with us, but you may submit your interest in becoming a Chapter Member here https://bit.ly/glsenLAmember
Dietary preference
Have you completed a background check within the last two years?*
Any volunteer whose role within the Chapter is such that they can reasonably expect to be working closely with Youth must complete the background check process and receive approval from GLSEN's National office before beginning to act in an official capacity.
Do you regularly work with youth (K-12)?*
Preference will be given to volunteers who have previous experience working with youth.
What roles are you interested in for volunteering? Please note that selecting these roles does not guarantee that you will be chosen to volunteer. Check all that apply.

Event Set-upEvent Check-in and WristbandsEvent Food DistributionEvent Crowd ControlEvent Close-DownCommunity Outreach / Outreach Tabling
Is there a particular event that you are interested in volunteering with GLSEN LA for? Please specify below.
I agree to attend a Volunteer Orientation (1-hour) session(s) on Zoom with the Volunteer Lead prior to a given event.*
Volunteer Agreements
As we value diversity and inclusivity within our volunteer program, we want to ensure that all volunteers have the necessary support to thrive in their roles. If you have any physical or mental disabilities that may require accommodations or affect your ability to volunteer in certain capacities, please feel free to share this information with us. We are committed to making reasonable accommodations in accordance with the Americans with Disabilities Act (ADA) and other applicable laws to support your participation and ensure a positive volunteer experience. Your well-being and comfort are important to us, and we are here to work together to find solutions that meet your needs. Your openness and honesty in this matter are greatly appreciated.
If you have any physical or mental disabilities that may require accommodations or affect your ability to volunteer in certain capacities, please feel free to share this information with us below.
For example, I can only volunteer in outdoor spaces due to COVID concerns. I cannot volunteer in super loud spaces. I cannot lift heavy objects, etc.
This certifies that I am physically able to participate in volunteer activities with the exception of those noted above, and that immediate medical attention may be obtained if necessary. By submitting this form, I, the volunteer, hereby agree to indemnify and hold harmless and forever release GLSEN, Inc. and its directors, officers, employees and agents against and from any and all claims and damages, suits and proceedings, medical expense or expense of every type, all or part thereof which arise out of or relate to any activities of the volunteer or GLSEN, including but not limited to acts or omissions of GLSEN.
I agree with the above statements.*
Volunteer Media Agreement
MEDIA AGREEMENT for GLSEN LA events:

Volunteer hereby grants media the irrevocable, unconditional and unrestricted right to photograph, record, videotape and/or interview volunteer and to use, publish, broadcast, and publicly display volunteer's name, voice, likeness, biographical information, and any or all of the footage in any of the media's programming, publications, or the promotion thereof. In addition, Volunteer agrees that the rights granted hereunder shall include the perpetual, worldwide right of media and its parent, subsidiaries, and affiliated companies to edit, telecast, cablecast, rerun, record, publish, reproduce, use, syndicate, license, print and/or distribute for any purpose, in any manner and in any medium or forum – whether now known or hereafter devised – the footage, or any portion thereof without payment of consideration. I consent to the use of your image, voice, comments and/or ideas by GLSEN and approved media outlets.
I, the Volunteer, have the legal right to sign this release granting GLSEN and all press permission as further provided herein. I agree with the above statements.*
Signature*

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Date signed*

MonthDayYear
Today's Date
One last thing! Please note that your response will not be submitted until you click the "Submit" button below.

We send out email newsletters about once a month, sometimes more frequently depending on if there is an event coming up. You are not required to sign up to receive our email newsletters in order to volunteer.
I would like to have the following email address added to GLSEN LA's newsletter/list serve. I understand that I may unsubscribe at any time, and this will not impact my eligibility to volunteer with GLSEN LA.
example@example.com
Do you want to be involved on a more consistent basis? Consider submitting your interest to be a GLSEN LA Chapter Member here https://bit.ly/glsenLAmember Youth (<18 years old) must complete the Chapter Member Interest Form along with their parent or guardian. Parent/guardian signature is required. Read more about Open Chapter Member Roles.
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