Youth Volunteer/Program Application

Youth Volunteer/Program Application

Our volunteer/program is open to students aged 13-20.
Section 1. Child Information

Thank you for your interest in joining LIVE (Lead, Inspire, Validate, and Explore)! Please complete the following application form to help us understand more about you and your interests.
Childs Name:

First NameLast Name
Date of Birth

MonthDayYear
Date
Childs Age:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Why are you interested in volunteering?
Please list any extracurricular activities or clubs you are involved in:
Do you have any hobbies or special interests?
How did you hear about LIVE?
Is there anything else you would like us to know about you?
School Information

We encourage all students to strive for academic excellence and maintain at least a C average GPA in order to participate in our volunteer programs. This helps ensure they are ready to engage and benefit from the opportunities provided through our initiatives.
School Name:
GPA (Middle/High School):
Submit the most recent grade transcripts:

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Code of Conduct
Check each one for acknowledgement:

Respect for Others: I will treat all participants, staff members, and volunteers with respect, courtesy, and consideration. I will refrain from any form of discrimination, harassment, or bullying.Safety First: I will prioritize my safety and the safety of others at all times. I will follow safety guidelines, instructions, and procedures provided by program leaders and staff.Environmental Stewardship: I will respect the natural environment and wildlife. I will minimize my impact on the ecosystem by practicing Leave No Trace principles and following park regulations.Teamwork and Cooperation: I will actively participate in group activities, contribute positively to team dynamics, and support my fellow participants. I will communicate openly, listen attentively, and resolve conflicts constructively.Accountability and Responsibility: I will take ownership of my actions and choices during the program. I will be punctual, reliable, and prepared for all scheduled activities. I will follow program rules and guidelines to ensure the smooth operation of the expedition.Adherence to Laws and Regulations: I will comply with all local, state, and federal laws, as well as program policies and regulations. I will refrain from engaging in any illegal or inappropriate behavior.Drug and Alcohol Policy: I understand that the use of drugs and alcohol is strictly prohibited during the program. I will not possess, consume, or distribute any illegal substances or alcoholic beverages.Communication: I will communicate openly and honestly with program leaders and staff. I will seek assistance if I have any questions, concerns, or issues during the program.
By signing below, I acknowledge that I have read, understood, and agree to abide by the Code of Conduct outlined above. I understand that failure to comply with these rules may result in disciplinary action, including dismissal from the program.
Signature of minor:

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Section 2. Parent/Guardian Information
Parent/Guardian name (primary emergency contact):

First NameLast Name
Relationship:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Child's Medical Information

Thank you for providing this important information. It helps us ensure a safe and enjoyable experience for all participants.
Health Insurance Provider:
Policy number:
Primary Care Physician:
Physicians Phone Number:
Please enter a valid phone number.
Medical History:
Does the participant have any chronic illnesses or medical conditions?

YesNo
If yes, please describe:
Is the participant currently taking any medication?

YesNo
If yes, please describe:
Does the participant have any allergies (food, medication, environmental)

YesNo
If yes, please describe:
Does the participant have any dietary restrictions?

YesNo
If yes, please describe:
Parent Consent:

I hereby give my consent for my child to participate in the program organized by LIVE (selected above). I understand and acknowledge the following:
Mark each one to acknowledge:

I have read and understood the program itinerary sent to me, including the activities and accommodations involved in the program.I am aware that my child will be under the supervision of adult leaders and staff members throughout the duration of the programI understand that outdoor activities such as hiking and snorkeling involve inherent risks, including but not limited to falls, injuries, and exposure to environmental hazards.I acknowledge that my child must follow safety guidelines and instructions provided by program leaders and staff to minimize risks and ensure theirIn the event of an emergency, I authorize the program staff of LIVE nonprofit to seek medical treatment for my child if I cannot be reached. I understand that every effort will be made to contact me before any treatment is administered.I agree to provide my child with any necessary medications, medical supplies, or equipment required for the duration of the program.I understand that my child's participation in the program is voluntary, and I release (LIVE) Lead, Inspire, Validate and Explore, its staff, volunteers, and affiliates from any liability arising from accidents, injuries, or damages incurred during the program.
Second emergency contact:
Name

First NameLast Name
Relationship:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Consent Agreement

By signing and submitting this application, I affirm that the information I have provided is true and complete. I agree to adhere to the rules and regulations of LIVE nonprofit and commit to the responsibilities assigned to me and I hereby grant LIVE nonprofit (Lead, Inspire, Validate, and Explore) permission to use photographs and/or video recordings of me (or my child, if under 18) taken during program activities for promotional purposes. This may include, but is not limited to, social media, website content, brochures, and other marketing materials. I understand that these images may be used without further notification or compensation.
Parent/Guardian Signature

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Date

MonthDayYear
Date
Should be Empty:

Youth Volunteer/Program Application

Section 1. Child Information

School Information

Code of Conduct

Section 2. Parent/Guardian Information

Child's Medical Information

Medical History:

Parent Consent:

Second emergency contact: