CCDN Volunteer Sign-Up

Your Name

First NameLast Name

Parent/Guardian Name

First NameLast Name

Your Email

example@example.com

Your Phone Number

Format: (000) 000-0000.

Birth Date

Date

Education Level

School/Organization/or Company Name

Emergency Contacts

How did you hear about this program?

At most two sentences.

Please state your other volunteering experiences.

What are your interests or skills we should know about?

Volunteer Areas

Volunteer Schedule CCDN Warehouse and Community Food Hubs Program

Volunteer Schedule Education Support Services Inspire Education Academy

Volunteer Liability Waiver

Community Care Development Network (CCDN) Volunteer Agreement and Release of Liability

I, hereby acknowledge that I am volunteering my services to Community Care Development Network (CCDN), a faith-based non-profit 501c3 organization. In consideration for being permitted by CCDN to participate in its volunteer activities and programs, I agree to the following:

I understand and acknowledge that my volunteer activities with CCDN may involve certain risks and dangers, including but not limited to physical injury, property damage, or other losses that may arise from my participation. I voluntarily assume all such risks and agree that CCDN shall not be liable for any injuries, damages, or losses that I may sustain as a result of my volunteer activities, except where such injuries, damages, or losses arise directly from the gross negligence or willful misconduct of CCDN.

Release and Waiver of Liability: I hereby release, waive, discharge, and covenant not to sue CCDN, its directors, officers, employees, agents, representatives, successors, and assigns from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of CCDN or otherwise, while participating in volunteer activities with CCDN.

Indemnification: I agree to indemnify, defend, and hold harmless CCDN, its directors, officers, employees, agents, representatives, successors, and assigns from and against any and all liability, claims, demands, actions, damages, costs, and expenses, including but not limited to attorney’s fees, arising out of or related to my participation in volunteer activities with CCDN, including but not limited to any claims brought by third parties alleging injury, damage, or loss caused by my actions or omissions.

Medical Treatment Authorization: I authorize CCDN and its representatives to secure any emergency medical treatment or assistance that may be necessary for me in the event of any injury, illness, or other medical emergency that may occur during my participation in volunteer activities with CCDN.

Photographic Release: I hereby grant CCDN permission to use my likeness in a photograph, video, or other digital media (“media”) in any and all of its publications, including web-based publications, without payment or other consideration.

Volunteer Agreement: I understand and agree that this agreement is voluntary and that I am not an employee of CCDN. I agree to abide by all policies, rules, and regulations established by CCDN during my volunteer activities.

Acknowledgment: I have read this agreement and fully understand its terms. I acknowledge that I am voluntarily giving up substantial rights, including the right to sue CCDN. I acknowledge that I am signing this agreement freely and voluntarily, without any inducement or assurance of any nature.

I agree and acknowledge with the volunteer waiver requirements of this application.

Volunteer Candidate Signature

Our staff will inform you and send you an email regarding to orientation before the program starts if you are selected as a volunteer.