Volunteer Application Form

Volunteer Application Form
We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided through this form will be kept confidential. The KASE Project reserves the right to refuse volunteer service based on information provided in this application.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
Highest degree earned or pursuing*
Field of study*
Occupation
Field of expertise*
Volunteer Experience
Please list relevant volunteer experience*
Which TKP programs are you interested in volunteering for?*
Additional notes about your experience or volunteer interests
As a volunteer, I release and hold harmless The KASE Project and their successors from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this volunteer opportunity.

I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them.

I also give permission to be photographed by project partners or the media for use in printed materials, through the internet or through other media outlets.

In signing below, I acknowledge that I have read and understand this volunteer agreement.
Date*

MonthDayYear
Date
Signature*

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Volunteer Application Form

Educational Background

Occupation

Volunteer Experience