Contact Information
Are you per-registered under another group or organization?
Yes
No
Please provide the group or organization name
*
Name
*
First Name
Last Name
Preferred Pronoun
*
Please Select
He/Him/His
She/Her/Hers
They/Them/Theirs
City
*
Please Select
Berkeley Heights
Clark
Cranford
Elizabeth
Fanwood
Garwood
Hillside
Kenilworth
Linden
Mountainside
New Providence
Plainfield
Rahway
Roselle
Roselle Park
Scotch Plains
Springfield
Summit
Union
Westfield
Winfield
Are you willing consider volunteering outside of these areas?
*
Please Select
Yes
No
Email
*
example@example.com
Age
*
Please Select
10-15
16-18
19-21
22-54
55+
County employment
*
I am not a county employee
I am currently a county employee
I was previously was a county employee
Telephone - Day
*
Format: (000) 000-0000.
Telephone - Evening
*
Format: (000) 000-0000.
Availability
Check All That Apply
*
Flexible
Weekdays
Daytime
Evenings
Weekends
Accommodations
Do you require accommodations?
If necessary, are you willing to volunteer remotely and/or virtually
*
Please Select
Yes
No
Volunteer Interests
Check All That Apply
Advocacy & Human Rights
Animals
Arts & Culture
Children & Youth
Community
Education & Literacy
Seniors
Crisis Support
Fundraisers and Food Drives
Environment
Homeless & Housing
Hunger
LGBTQ
People with Disabilities
Parks & Recreation
Veterans & Military Families
Women
QR Code Sign in/Sign Out Agreement
You are required to utilize the QR code upon check-in and check-out at each volunteer session whether it be hosted by Union County or any or its participating agencies. This practice tracks your hours and enables you to participate in any future incentive/recognition program.
QR Code Agreement
*
I agree
We want to shout out about you from the mountain tops!
Please grant us permission to share your volunteer contributions with others. (optional)
Employer
Civic/Social Affiliation
Professional Affiliation
Place of Worship
Emergency Contact
Name of Emergency Contact
*
First Name
Last Name
Telephone - Day (Emergency Contact)
*
Format: (000) 000-0000.
Telephone - Evening (Emergency Contact)
*
Format: (000) 000-0000.
Relationship to Volunteer
*
Languages Spoken Fluently
Check All That Apply
*
English
Spanish
Arabic
Armenian
Bantu (including Swahili)
Bengali
Chinese (including Mandarin and Cantonese)
French
German
Greek
Gujarati
Haitian Creole
Hebrew
Hindi
Hmong
Italian
Japanese
Khmer
Korean
Navajo
Persian (including Farsi and Dari)
Polish
Portuguese
Punjabi
Russian
Serbo-Croatian (including Bosnian, Croatian, Montenegrin, and Serbian)
Tagalog (including Filipino)
Tai–Kadai (including Thai and Lao)
Tamil
Telugu
Urdu
Vietnamese
Volunteer referral
Would you like to add a volunteer referral?
*
Yes
No
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Agreement
This AGREEMENT made today between the Volunteer and the County of Union, Department of Economic Development (“County”), with offices at Union County Administration Building, 10 Elizabethtown Plaza, Elizabeth, New Jersey 07207. WHEREAS, the Volunteer intends to donate his/her services to the Union County Helping Hands Program by performing various tasks including, but not limited to, helping in soup kitchens, making sandwiches for the homeless, gardening, participating in schools as readers, visiting nursing homes and hospice centers. The County will be coordinating the Volunteer and assigning the Volunteer to the various tasks. NOW, THEREFORE, in consideration of the mutual promises, the parties hereto agree as follow: 1. It is mutually and expressly understood that the Volunteer’s services shall be donated, and that Volunteer is not entitled to nor expects any present or future salary, wages, or other benefits whatsoever for these voluntary services. 2. Volunteer agrees to follow the supervision and direction of any personnel, employee, or volunteer, to whom Volunteer has been assigned to perform services. 3. Volunteer agrees that he/she will not be considered an employee of the County and nothing contained herein shall be interpreted to establish an employer/employee relationship. 4. VOLUNTEER ACKNOWLEDGES AND ACCEPTS RESPONSIBILITY FOR HIS/HER OWN ACTS AND AGREES TO RELEASE, INDEMNIFY AND HOLD HARMLESS THE COUNTY, ITS BOARD OF CHOSEN FREEHOLDERS, OFFICERS, EMPLOYEES, AGENTS AND/OR REPRESENTATIVES SHOULD HIS/HER CONDUCT LEAD TO THE PERSONAL INJURY, INCLUDING DEATH, AND/OR THE DAMAGE TO OR LOSS OF PROPERTY THAT MAY OCCUR WHILE VOLUNTEER IS ON COUNTY PREMISES OR OTHERWISE ENGAGING IN VOLUNTEER ACTIVITIES CONTEMPLATED BY THIS AGREEMENT. I UNDERSTAND AND AGREE THAT THIS RELEASE IS TO BE BINDING ON MY HEIRS AND ASSIGNS. 5. This Agreement is terminable upon immediate notice by the County without cause. 6. This Agreement represents the entire agreement with respect to the Volunteer’s services and supersedes all other oral, written, expressed or implied communications, agreements and/or understandings relating to the Volunteer’s services with the County. The parties agree to the terms hereof on the day and year set forth above.
Do you agree to the terms above?
*
Yes
Today's Date
*
-
Month
-
Day
Year
Date
Digital Signature
*
Submit
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