YOUNG DEBS 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 or have you volunteered for Young Debs Inc within the last year? Yes/No*

YesNo
What volunteer opportunities are you interested in?*

MentoringTutoringEvents OnlyFund RaisingSocial MediaWeb DesignOther
Mentors are required to spend on average 1 hours per week interacting with her/his mentee (average of 4 hours per month); and they are expected to attend at least 50% of the Young Debs Inc sponsored events. If you can fulfill these obligations what age group are you most comfortable mentoring?

8-10 (usually grades 3rd-5th)11-13 (usually grades 6th-8th)14-18 (usually grades 9th-12th)
Tutors are required to spend on average 1 hours per week providing tutoring services. If you can fulfill these obligations what subjects are you comfortable

3rd-5th grade Reading3rd-5th grade Math6th-8th grade Math6th-8th grade English/Language ArtsAlgebraCalculusHigh School EnglishChemistryPhysicsBiologyOther
At what times are you interested in volunteering?*

WeekdaysWeekdaysAny 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.
Please attach a copy of your photo ID *

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

Powered by Jotform SignClear
VOLUNTEER APPLICATION
1.How did you hear about the Young Debs Inc?*
2.Why do you want to volunteer with Young Debs Inc?*
4.What skills and personal attributes do you have that you could contribute to Young Debs Inc? *
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 a car available for reliable transportation?*
VOLUNTEER ACKNOWLEDGEMENT, RELEASE, AND WAIVER
1. Young Debs Inc is a non-profit organization that empowers youth 8-18 through mentoring, education, and cultural activities to realize their potential.
2. The Volunteer (“Volunteer”) desires to participate in one or more volunteer activities (the “Volunteer Activities”) being organized by Young Debs Inc.
3. Young Debs Inc allows the Volunteer to participate in such Volunteer Activities under the terms and conditions set forth in this Release.
Acknowledgement, Release, and Waiver
NOW THEREFORE, for good and valuable consideration, the receipt and sufficiency of which the parties acknowledge, the parties agree as follows:

1. Supervision and Training. Volunteer agrees that, while participating in the Volunteer Activities, Volunteer will be subject to the supervision and will follow the instructions of Young Debs Inc, its employees, officers, and agents. Volunteer agrees to receive any and all training required by Young Debs Inc prior to participating in the Volunteer Activities.

2. Participation Is in the Women's Center Sole Discretion. Volunteer acknowledges that Volunteer’s participation in the Volunteer Activities is a privilege, not a right, and that Young Debs Inc, its employees, officers, or agents, may, in their sole discretion, decline to allow Volunteer to participate in any of the Volunteer Activities for any reason.

3. No Employment or Compensation. Volunteer acknowledges and agrees that this Release does not constitute an employment contract and does not entitle Volunteer to later employment with Young Debs Inc. Volunteer acknowledges that his/her services rendered in connection with the Volunteer Activities are being donated and that Volunteer is not and will not be entitled to, and Volunteer does not expect, any present or future salary, wages, reimbursement, compensation, or employee benefits as a result of providing such services.

4. Confidentiality. I agree to protect the confidentiality of Young Debs Inc clients, volunteers and employees. Information given to me by a client, volunteer or staff member will not be given to any agency or person without the expressed written consent of the person or guardian of the person to which the information pertains. I also agree to respect the confidentiality of any agency and its clients I may be working with and agree to follow their established policy and procedures.

5. Grant of Right to Use Image, Audio, and Video. Volunteer acknowledges that one or more of Young Debs Inc, its employees, officers, and agents, may cause still photographs, audio recordings, and/or audio-video recordings (collectively, the “Recordings”) to be made of Volunteer’s participation in the Volunteer Activities. Volunteer grants to Women's center and their assigns, licensees, and successors the right to use the Recordings, including without limitation any Recordings containing Volunteer’s voice, image, picture, portrait or likeness, throughout the world and in perpetuity, but only for purposes of promoting Young Debs Inc nonprofit and/or charitable activities. The grant contained in the immediately preceding sentence applies to all forms and media, including composite or modified representations, and Volunteer waives the right to inspect or approve any version of Volunteer’s voice, image, picture, portrait or likeness prior to publication.
6. Volunteer’s Representations and Warranties regarding Criminal Conduct. Volunteer represents and warrants that he/she has never been convicted of or pled nolo contendere to, 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 foregoing.

7. Release of Young Debs Inc: 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 himself/herself and anyone who obtains any rights from Volunteer, hereby forever releases and discharges Young Debs Inc and/or its parents, subsidiaries, affiliates, directors, officers, employees, agents, partners, administrators, volunteers, insurers, or successors, or the assigns of any of the foregoing (each a “Releasee”), from, and agrees not to sue any of the Releasees for, any kind of liability, claims, demands, losses, damages, costs, or expenses (including, without limitation, attorney’s fees and costs) arising out of or in any way related to Volunteer’s participation in the Event and related activities, including without limitation the Volunteer Activities.

8. Governing Law. This Release shall be governed by and construed in accordance with the laws of the State of Maryland. Exclusive jurisdiction and venue for any dispute concerning this Release shall be in the federal or state courts located in the Maryland.

9. Signatures. Volunteer confirmes she/he/they is over the age of 18.

IN WITNESS WHEREOF, Volunteer have executed this Acknowledgement, Release, and Waiver to be effective as of June 17, 2024. 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.
Volunteer Name: (please print)*
Volunteer's Signature*

Powered by Jotform SignClear
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 APPLICATION

VOLUNTEER ACKNOWLEDGEMENT, RELEASE, AND WAIVER

Acknowledgement, Release, and Waiver