Volunteer Application
YOUR INFORMATION IS ALWAYS KEPT CONFIDENTIAL AND NEVER SHARED OUTSIDE OF EBONY ROAD PLAYERS
Legal Name
Required for purposes of confidential background check.
Your answer
Preferred Name
Your preferred name is how you will be referred to in correspondence and while volunteering with ERP.
Your answer
Date of Birth
MM
/
DD
/
YYYY
Legal Sex
Required for purpose of confidential background check.
Pronoun
If your pronoun is not listed, please tell us.
Your answer
Email
Your answer
Address
Your answer
Phone number
Your answer
Preferred Contact Method
I'm interested in helping with
My availability
Do you need any special accommodations?
Your answer
What makes you passionate about helping Ebony Road Players?
Your answer
How did you hear about volunteering with Ebony Road Players?
Your answer
Background Check
I hereby authorize Ebony Road Players (ERP) bearing a copy of this release, at anytime during my participation as a volunteer to run a background check. ERP may obtain any information pertaining to my criminal history from local, state or federal agencies as necessary to ensure the safety of ERP, it's staff or others in the community. This release is executed with the full knowledge and understanding that the information is for the official use of ERP. Consent is granted for ERP to furnish such information, as directed above to third parties in the course of fulfilling its official responsibilities. I hereby release ERP and any agencies needed to obtain this information from any and all liability for damages of whatever kind, which may at the time result to me, my heirs, family or associates because of my compliance with this authorization and request to release information, or any attempt to comply with it.
Media Release
I acknowledge that my participation is completely voluntary. I understand that by participating in volunteer activities with Ebony Road Players (ERP) I may be recorded on video and/or audio tape and such recordings may be broadcast on television, radio, or via the internet, and I give my consent. I understand that by participating I may be photographed or quoted and that such photos or quotations may be published in a newspaper, a magazine, a publication of the ERP, or on the internet, and I give my consent. I agree to release ERP staff, agents, contractors, and programs from any liability associated with the broadcast of video or audio tape recordings or publication of photographs of my participation in volunteer activities for ERP.
Confirmation
I certify that the above information is true and correct.
Signature
Please type your full legal name and the date you are submitting this application as your electronic signature.
Your answer
Parent/Guardian Signature
If you are under 18, we will need permission from a parent or guardian for you to volunteer. This person should complete this section. Please type your full legal name, contact information, and the date you are submitting this application as your electronic signature giving permission for the applicant to volunteer.
Your answer
May we add you to our mailing lists?
Contact information is kept confidential and for in-house use only. This information is never shared with 3rd parties.
I am fluent in the following languages
Fluent is defined as able to speak or write a particular language easily and accurately.
Your answer
Comments
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