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  • CAPP Volunteer Application

    550 Hartford Avenue Providence RI 02909
  • Volunteers are our most valuable community resource. Community Action Partnership of Providence appreciates your interest in our Volunteer Program.

  • Personal Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Demographic Information

  • Gender*
  • Race*
  • Ethnicity*
  • Citizenship Status
  • Do you have Health Insurance?
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  • Medical & Emergency Information

  • Format: (000) 000-0000.
  • Do you have physical limitations?*
  • Do you have any allergies?*

  • Employment History

  • Are you currently employed?

  • Education

  • What is your highest education status?*
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  • PVDCAP Providence Community Action Partnership

  • Rows

  • Source of Income

  • What is your monthly income?
  • Income Sources (Left Column)
  • Income Sources (Right Column)
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  • Volunteer History

  • Please list any special training, skills, or other qualities you feel you can incorporate into your volunteer work (please indicate skill level) *
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  • Why would you like to volunteer at CAPP?*
  • Type a question
    Rows
  • Check the following areas of volunteer activities that you are interested in:*
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  • Available to Volunteer

  • Number of days per week you are available (circle):*
  • When are you available for volunteer assignments?*
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  • Do you have access to transportation?
  • Are you requesting community service hours? Yes or No*

  • Our Policy

  • It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.

  • Declaration

  • I
    learn and hear while volunteering in any Community Action Partnership of Providence program is confidential and not to be shared with anyone outside of the staff at the respective CAP site.

  • Volunteer Release of Liability and Acknowledgment Form

    Event/Location: CAPP Food Pantry — 550 (L) Hartford Avenue, Providence, RI 02909
  • Date
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    2 digit month, 2 digit day, 4 digit year

  • Acknowledgment of Volunteer Status
    I understand that I am volunteering my time and services for Community Action Partnership of Providence County ("CAPP") without expectation of compensation or benefits. I acknowledge that I am not an employee of CAPP and am not covered by CAPP's workers' compensation or other insurance policies.

    Assumption of Risk
    I understand that volunteer activities at the CAPP Food Pantry may include physical tasks such as lifting boxes up to 50 pounds, bending, standing for extended periods, and working in or around vehicles, loading areas, or storage facilities. I affirm that I am physically able to participate and have disclosed any limitations or restrictions to a CAPP staff member. I voluntarily assume all risks associated with participation, including but not limited to injury, illness, or property damage that may occur during volunteer service.

    Release of Waiver
    In consideration of being permitted to participate as a volunteer, I hereby release and hold harmless CAPP, its officers, employees, agents, and affiliates from any and all claims, liabilities, or causes of action that may arise out of or relate to my volunteer activities. This release applies to any injury, illness, or loss that I may suffer while volunteering, except to the extent caused by CAPP's gross negligence or willful misconduct.

    Safety and Conduct
    I agree to comply with atl CAPP policies, instructions, and safety procedures, including wearing appropriate clothing and footwear and reporting any unsafe conditions or incidents immediately to CAPP staff.

    Medical Consent
    In the event of a medical emergency, I authorize CAPP to obtain necessary medical treatment for me and understand that I am responsible for any related costs.

     

  • Photograph and Media Release*

  • Acknowledgment and Signature
    By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this Release of Liability and Acknowledgment Form.

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  • Appointment Location 550 Hartford Avenue Providence RI 02909*
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