Volunteer Sign up Sheet
Asalamalaikum

ICNA Relief attributes as much as 70% of its programs and their success to volunteers. Jazak Allah Khair! Thank you for choosing ICNA Relief.

All potential volunteers, and parents of under-aged volunteers, are required to provide the following information. We'll find you a great fit !

Where necessary, candidates will be interviewed before a final selection is made.

For questions, please contact chicago@icnarelief.org; (844) 414-4862. Inshallah, we look forward to hearing from you.

Sincerely,
Dr. Saima Azfar
Director, ICNA Relief Chicago
Glendale Heights IL 60139
www.icnarelief.org

ICNA Relief Services
Have previously provided this information ?
( If yes, answer only select questions below)
Name
Your answer
Indicate age if minor
Your answer
Select Area of Interest
(Choose all that apply)
Required
Indicate Availability - Days and Times
If you have previously provided this information and there are no changes, please indicate: N/A
Your answer
Email
Your answer
The best phone number to reach you at
(If you have previously provided this information please indicate: N/A)
Your answer
The best way to reach me is
(If you have previously provided this information please select N/A)
Required
List prior volunteering experience, including any with ICNA Relief. (If you have previously provided this information please indicate: N/A)
(If no prior experience mention "First Timer'. )
Your answer
List three references. (If you have previously provided this information please indicate: N/A)
Provide Name, Cell, Email and Organization
Your answer
Can we add you to the ICNA Relief Chicago E-news and Whats App group?
(Indicate N/A if you've previously provided this information)
Can you host us at your home, so we can present ICNA Relief 1:1 to a select number of your friends? (Gatherings limited to adults.)
If yes, indicate a few dates you are considering. If you'd like us to bring light refreshments, indicate number of guests. Alternatively, mention "Host will provide refreshments."
Your answer
By checking this option, I give my child permission to volunteer with ICNA Relief
(For Minors under 18)
VOLUNTEER WAIVER, RELEASE, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT, PHOTO WAIVER
* I have agreed to serve as a volunteer for ICNA Relief. I fully understand, appreciate and assume all of the risks associated with my volunteer duties. In exchange for my participation, I hereby agree to the following: 1. I voluntarily waive, release and hold harmless ICNA Relief, its parent organization, its chapters, its appointed officials, officers, employees, agents and other volunteers from all claims, causes of action and damages for bodily injury or death that I may suffer as a result of, or in any manner connected with, directly or indirectly, my participation as a ICNA Relief volunteer when such bodily injury or death is the result of my own negligent or intentional acts or omissions, or those of another volunteer. I understand that this waiver and release precludes my right to recovery of damages in the event I am injured in the course of performing my volunteer duties. 2. I shall defend, hold harmless and indemnify ICNA Relief, its elected and appointed officials, officers, employees, agents and other volunteers, from and against all damages, claims, liabilities, causes of action, judgments, settlements, costs and expenses (including, but not limited to, reasonable expert witness and attorney fees) that may at any time arise or be claimed by any person as a result of bodily injury, death or property damage, or as a result of any other claim or cause of action of any nature whatsoever, arising from or in any manner connected with, directly or indirectly, my negligent or intentional acts or omissions in performing my volunteer duties for ICNA Relief. 3. ICNA Relief and its members have my permission to use, publish, or otherwise reproduce all or portions of photos and videos, including my full name/ my child's first name, on its website or in press releases, in any other form, including print, digital, and/or broadcast production, in conjunction with and in promotion of ICNA Relief. Photos maybe used on the ICNA Relief website, blog, social media pages, and for marketing/fundraising purposes. I understand that any use of these photos or videos may include my full name/ my child's first name in their captions. I also understand that no payments, royalty or otherwise, will be made to me or my child/ren by ICNA Relief, or any other entity distributing said photos or videos pursuant to an agreement with ICNA Relief. I hereby grant and assign ICNA Relief the non-exclusive right and permission, in respect of videos or photos of my child for use on the ICNA Relife, website, social media pages, blog and future press releases and articles online and in print that maybe distributed for free or sold, to use, re-use, publish, and re-publish, and otherwise reproduce, and display the same, individually or in conjunction with other original writing, photos, and video, now or hereafter for promotion, advertising, and trade, or any other purpose whatsoever; and to use my child's name to identify him/her in connection with my participation in ICNA Relief activities. I have read, fully understand and agree to the assumption of risk, waiver, release, hold harmless and indemnification terms set forth above.
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