Volunteer Application and Agreement

Your Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Format: (000) 000-0000.

Do you need accommodation services in order to perform your duties?

Please enter what type of accommodation services do you need.

Are you volunteering as court mandated community service or legal issue?

If Yes, How many hours are mandatory you have to do?

Are you volunteering for one of the following reasons:

Emergency Contacts

How did you find this volunteering program?

Availability Information, operation hours 10a - 3p

Rows	From	To
Wednesday
Thursday
Friday
Saturday

Why do you want to be a volunteer in this program?

Please tell us your other volunteering experiences.

What are your interests?

What are your skills?

ie. Graphic Design, Social Media

Please select an activities you would like to do

How often would you like to volunteer?

Photographic & Volunteer Release

I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.

Volunteer Agreement and Confidentiality Statement

We appreciate your commitment to us and will do the best we can to make your volunteer experience with us enjoyable and rewarding. The Baldwin County Heritage Museum greatly appreciates the dedicated service of volunteers. We could not exist without you! The following policies have been developed to ensure you a safe, productive and rewarding volunteer experience at BCHM. Please read and sign at the bottom of the following page.

I, First Name Last Name agree to serve as a volunteer for Baldwin County Heritage Museum.
As a volunteer, I agree to do the following:

Complete assignments to the best of my ability
Maintain confidentiality of information
Dress appropriately
Call my supervisor if I am unable to report at assigned time
Observe all staff rules and policies
Maintain a time record of hours that I volunteer

Attendance

Volunteers are required to call ahead to schedule appropriate times to volunteer. They may contact the Volunteer Coordinator who can then provide a schedule to the volunteers and other staff as appropriate.

Safety

BCHM maintains a drug and alcohol free work environment in all aspects and reaches of its programs. Volunteers who abuse alcohol or drugs are a danger to themselves and others. They will not be permitted to continue as BCHM volunteers.

The Baldwin County Heritage Museum agrees to provide the following:

Volunteers are expected to:

Immediately report any injuries and/or unsafe conditions or practices to any BCHM member of management

Drug Free Work Place Policy

The BCHM is a drug free work zone and prohibits the use or sale of any controlled substance by staff and volunteers including alcohol. If a volunteer reports for work under the influence they will be sent home and not welcome to return.

Smoking Policy

Persons over the age of 18 may smoke outside the building in the designated smoking break area. Please do not litter the driveway with smoking materials. Use the receptacle provided.

Adequate work space and supplies

Supervision of my work

Evaluation of my performance on a regular basis

Training in Museum procedures and policies

Time sheet for recording hours

Record of my volunteer time, which is available upon request (records will be kept for at least 5 years)

Depending on work ethics, the Baldwin County Heritage Museum can write a letter of recommendation.

I have discussed my schedule with the Director and Volunteer Coordinator and these are the days and times that I agree to work at the library each week:

Day: _________________

From: _____________ To: _____________

Day: _________________

From: _____________ To: _____________

Day: _________________

From: _____________ To: _____________

I will call Tammy Kinney, Director at (251) 986-8375 or Katrina Presswood, Volunteer Coordinator 251-581-4776 in advance if I am unable to follow this schedule.

Signature

All volunteers of the BCHM and its programs, regardless of age, must completely read and sign this Liability Waiver and Emergency Contact information prior to starting work. If you are under the age of 18 years, a parent or legal guardian must sign this waiver also. We deeply appreciate your services and want to indicate our commitment to do the very best to assist you in your volunteer efforts.

Description of Risk:. It is possible that your involvement could result in personal injury. A BCHM staff member will provide orientation and training to alert volunteers to possible dangers and work conditions risks. Please read and acknowledge understanding of risks associated with each area. Risks include but are not limited to bending, stooping, reaching, kneeling, lifting and carrying. I certify that I am in good health and physically able to perform such work. I acknowledge that this volunteer work may involve risk of injury from such work and I agree that I am volunteering for the BCHM at my own risk.

Volunteer Agreement: In signing this Liability Waiver, I agree that I am willingly volunteering with the BCHM and its programs. I agree to work in a safe and responsible manner. I agree to only perform work that I am comfortable doing and that I feel I can accomplish safely. If I am not comfortable with a task I will immediately notify the staff. I agree I am wearing proper clothes and shoes that I believe will provide protection according to the work conditions.

_____ (Initials)

Release: I hereby release Baldwin County Heritage Museum, any and all sponsoring organizations or partners, property owners and the BCHM from any and all claims that may arise from or result in any expenses, personal injury, loss or damage incurred to me or by me during my participation with the BCHM.

_____ (Initials)

Information Waiver: I understand that any information I choose to provide the BCHM will be held in confidence and that the BCHM and its programs may use and reproduce anonymously compiled survey results, including any information I may have provided, for purposes of program evaluation, communication and publication.

Volunteer Candidate Signature