Volunteer Application Form
Complete this volunteer application for Generations Connecting Communities Inc. using the fields below. Use the attached DOCX as a guide.
Personal Information
Full Name
*
First Name
Last Name
Date of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
City
*
State
*
Zip
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Method of Contact
*
Phone
Email
Text
Emergency Contact Information
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Interests
Volunteer Opportunities of Interest
*
Intergenerational Programs
Senior Support
Youth Mentoring
Events & Fundraising
Administrative/Office Support
Outreach/Community Engagement
Technology/Virtual Support
Other
Other Volunteer Interest
Availability
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Times
*
Mornings
Afternoons
Evenings
How often would you like to volunteer?
*
Once a week
A few times a month
Once a month
Occasionally/as needed
Skills & Experience
Skills, certifications, talents, or experience
*
Experience working with
Older adults
Youth
People with disabilities
Diverse communities
Other
Background Information
Have you volunteered with Generations Connecting Communities Inc. before?
*
Yes
No
Are you willing to undergo a background screening if required?
*
Yes
No
Physical Limitations/Accommodations
Do you have any physical limitations or accommodations we should be aware of?
*
Yes
No
If yes, please explain
Volunteer Agreement & Consent
1. Volunteer Agreement: Volunteer participation with Generations Connecting Communities Inc. (“Organization”) is strictly voluntary. No wages, compensation, or employment benefits are provided in exchange for services. Volunteer responsibilities include: Performing assigned duties to the best of ability. Following all instructions provided by staff or designated supervisors. Maintaining respectful and professional behavior toward all participants, staff, and community members Adhering to all safety guidelines and organizational policies. Representing the Organization in a positive manner. The Organization reserves the right to terminate volunteer service at any time, with or without cause. 2. Assumption of Risk & Release of Liability: Volunteer activities may include physical activity, event participation, community engagement, and/or transportation. Participation is voluntary and all associated risks are assumed by the volunteer, including but not limited to personal injury, illness, or property damage. Generations Connecting Communities Inc., including its officers, board members, staff, and partners, is released from any and all liability, claims, or demands arising from volunteer participation. 3. Health & Safety Consent: Volunteer confirms physical and mental ability to participate in assigned activities. Any medical conditions or limitations that may affect safe participation must be disclosed prior to volunteering. In the event of an emergency, authorization is granted for the Organization to seek necessary medical attention if required. 4. Confidentiality Agreement: All personal, financial, participant, and organizational information encountered during volunteer service must remain confidential. Unauthorized disclosure of private information is strictly prohibited. 5. Photo & Media Release Authorization: Permission is granted to Generations Connecting Communities Inc. to capture photographs, video recordings, and audio recordings during volunteer activities and events. These materials may be used for:Social media platforms. Website content Marketing and promotional materials Grant applications and reporting Community outreach and educational purposes. All rights to inspect or approve finished media are waived. Release of claims related to use of image, likeness, or voice is acknowledged. 6. Volunteer Acknowledgment & Consent: By signing below, acknowledgment is made that:Terms and expectations of volunteer service have been read and understood Participation is voluntary and risks are accepted. Confidentiality requirements are understood and agreed upon Photo and media release authorization is granted.
I have read and agree to the Volunteer Agreement
*
I agree
Applicant Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Signature
Parent/Guardian Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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