Volunteer Application

Volunteers are the HEART & SOUL of our community- Please begin.......Malikah helping the kids at the children Christmas program

Name* This field is required.

First Name

Last Name

E-mail* This field is required.

Phone Number* This field is required.

Area Code

Phone Number

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Which days of the week are you available to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Enter a range of work hours per week

From

Volunteer Request* This field is required.

Please select the type of group or person requesting Volunteer service.

Do you have any special skills or talents that may be beneficial to our nonproift? Please list your skills. Your skills can vary from writing letters, grants, graphic design, website design etc.

Volunteer InformationPlease check area(s) of interest:

Typing Documents

Grant writer

Graphic Design

Research / Field work

Web Design/Editing

Mentors

Community outreach

Guest Speakers

Event Planner

Youth Leader /Coordinator

Marketing/Advertising

Fundraising

Event Decorator

Driver (pick up Donations)

Games/ Activity Planner

Volunteer Coordinator

All volunteers (High School, Elementary school students, youth groups are exempt) are REQUIRED to submit a background check.Would you be willing to submit a Criminal Background check? * This field is required.If Criminal Background documents are not submitted, Dynamic Image has the right to reject your application.

YESNO

Do you have an previous volunteer experience with a nonprofit organization? If yes, please explain below:

Name of the Organization

List of Duties

Program VolunteeringDynamic Image host annual programs every year. If your interested in volunteering for any of the events whether it's once a year or annually please click below

Children Christmas Program Event

Back-2-School giveaway

Toy Drive

Back to School supply drive

Easter Egg Hunt

Sparkles Girls program

Children Carnival parade

Community Outreach Program

Fundraising

Please provide the approximate time period in which you plan on volunteering your time and availabilityPlease choose one

0-3 months

4-6 months

7-9 months

10+ months

Agreement & Confidentiality Acknowledgment Form

We are pleased you have decided to volunteer your services to Dynamic Image Inc., the mandatory understanding concerning your voluntary work is as follows:

1. You agree that your participation is entirely voluntary and you are not considered a Dynamic Image Employee.

2. You are eighteen years of age or older. Minors need parental permission.

3. You, on behalf of yourself, your agents, heirs, representatives, executors or administrators, her by release, indemnify and hold harmless Dynamic Image from an and all liability damage, claim of any nature whatsoever arising out of or in any way related to your volunteer duties. Thurs, Dynamic Image bears no responsibility in case of an accident or health problem with you may encounter as a result of activities carried out in connection with your volunteer activity or otherwise.

4. You understand that Dynamic Image does not provide any accident or medical insurance and that you are required to provide your own accident and medical insurance. You hereby agree that you are financially responsible for all such expenses. You are not covered by employee benefits or by worker’s compensation.

5. You understand that all volunteers are subject to Dynamic Image regulations, laws which is considered to be detrimental to staff, or the program, Dynamic image shall have the right to dismiss you as a volunteer without prior notice. You do not have a form appointment at Dynamic Image

Authorization

Please initial to indicate authorization:

____ I certify that all the information provided in this application is true and complete. I understand that falsification or omissions of any information may be caused for denial of appointment or dismissal if discovered at a later date.

____ I understand that this is an application for and not a commitment or promise of volunteer opportunity.

____ I understand that prior to the expiration of my term, if appointed, I am subject to suspension and removal by Dynamic Image at any time.

____ I understand that there will be media, video and photography usage at all events and may be used for public or marketing use for Dynamic Image.

Dynamic Image Statement. It is the policy of Dynamic image that ll persons shall have equal opportunity and access it its programs and facilities. Dynamic Image is committed to providing an environment that is free from discrimination in employment and opportunity because of race, color, religion, creed, national origin, ancestry, disability, gender, sexual orientation, or age.

CONFIDENTIALITY STATEMENT: In signing this form, I understand that I have a professional responsibility to maintain the confidentiality of consumers served by Dynamic Image. Confidentiality included not discussing consumer names and other information with those not involved in service with Dynamic Image. Consumer records are confidential and information these records cannot be shared except as required by law, without the written consent of the consumer, family, or other legally responsible parties. The written or verbal release of information much comply with Dynamic Image policy and procedure regarding confidentiality and release of information. The misuse of this knowledge can be damaging to the consumer, his/her family, and to the professional and public image of Dynamic Image. I understand and accept my obligation in this respect.

Agreement & Confidentiality Acknowledgment Form* This field is required.Please read document

DocuSign* This field is required.I certify that all information in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal, if discovered, at a later date. I understand the requested information is for the sole purpose of gathering accurate information for volunteer services at Dynamic Image Inc. I have read and understand the above and by my signature consent to these statements.

Volunteer Application