Volunteer Application
Name (First and Last) *
Your answer
Date *
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Email *
Your answer
Address *
Your answer
Phone number *
Your answer
Date of Birth *
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DD
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YYYY
Please select *
Parental Consent
If you are under 18 years of age, a parent or legal guardian must agree to the liability release and the media release found at the bottom of this application.
Other than English, what language(s) do you speak fluently?
Your answer
Please specify any area(s) of skill or expertise:
Your answer
Liability Release *
I hereby release REACH AND RELIEVE MINISTRIES, its affiliates, partners and subsidiaries from any and all liabilities associated with volunteer jobs, opportunities, duties and posts. REACH AND RELIEVE MINISTRIES, its affiliates, partners and subsidiaries are hereby released from any liabilities resulting from damage to personal property, personal injury, wrongful death and physical and/or emotional distress; and all risks and liabilities associated with transportation, communication and physical labor.
Media Release *
I grant permission to REACH AND RELIEVE MINISTRIES to use my image (photographs and/or videos) for use in REACH AND RELIEVE MINISTRIES publications including videos, email blasts, recruiting brochures, newsletters, and any marketing and to use my image in electronic versions of the same publications or on the REACH AND RELIEVE MINISTRIES website or other electronic forms of media. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.
Consent for Background Check (18 Years & Over) *
Some of our programs and/or affiliates require a background check for crime, drug abuse, sex offense, and mental health. If you are willing to consent to a background check for these affiliates, please sign below. Prior to placement at such programs and/or affiliates, a background check form will need to be submitted.
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