2016 VOX Atlanta Word Works Participation Form
Interested in becoming a part of Atlanta Word Works and attending FREE workshops and open mics? Fill out this form and we'll reach out to you with more information!
Sign in to Google to save your progress. Learn more
Name *
Email *
Address *
Age *
School *
Gender Identity
Racial/ethnic Identity
Atlanta Word Works 2016 Schedule (select all of the dates that you'd like to attend)
How did you hear about Atlanta Word Works? *
Are you interested in other opportunities to become involved with VOX? *
Any Questions?
Please review and electronically sign the VOX Policies page.
VOX Teen Communications Organization and Office Policies and Procedures:

Individuals ages 13-19 are the target population for participation in the organization. Teenagers who apply to participate in VOX Teen Communications’ programs are invited to our Back to School Party/orientations/trainings on a first-come, first-served basis. While not all Atlanta Word Works events will take place at VOX's office, we still expect teens to adhere to VOX's policies and procedures at all VOX sponsored events.

VOX is not responsible for teenagers’ transportation to and from our office or activities. Teenagers who apply to work on VOX activities are responsible for securing their own transportation, though the organization will provide MARTA fare to teens who participate here. Teens must sign in and out of the office. As an informal procedure, VOX Teen Communications will make its best effort to implement a buddy system en route to the MARTA station and/or while waiting for a ride.

The signature on this policies page indicates the parent or guardian’s consent for the teen to use whatever form of transportation he/she indicates on his/her application. By signing this form, parents/guardians consent to allow VOX volunteers or staff to provide transportation to the teen on occasions, and by signing this form, parents/guardians relieve VOX Teen Communications and its agents from any and all liability.

VOX’s school-year office hours are 10 a.m. to 7 p.m. Tuesday through Thursday, with some nights during the week designated as special work nights from time to time; during these nights, the office may remain open later than 7 p.m. Office hours for Mondays and Saturdays are 10 a.m. to 5 p.m. VOX’s Summer hours are M-F 9:30 a.m.-5:30 p.m. Special projects may take place before or after these official hours. The VOX office is always supervised by an adult when teens are present.

VOX Teen Communications maintains a safe space in its offices by committing to a strict policy of no smoking/tobacco products, alcohol, drugs, weapons, fighting, stealing, and misuse of technology.

Teens, adult volunteers and VOX staff may work together in the VOX Teen Communications office at any time accordance with the participation policy above. They may conduct research, use computers, take photos, conduct interviews or other business in a public library, a volunteer’s office or other appropriate locations. When volunteers serve in a mentor capacity and plan outings in the community or in their home, parental/guardian consent is required. Physical relationships between volunteers, staff and teens are inappropriate and prohibited.

The electronic signatures on this page also indicate consent for VOX Teen Communications to publish the written or artistic work created by the teen participant as well as images of the teen participant in any of VOX’s printed or electronic material. Such material becomes the property of VOX Teen Communications.
Teen participant agreement (please type your full name below) *
I agree to adhere to and support the policies of VOX Teen Communications for as long as I am affiliated with the organization. I understand that I must return this application with my parent/guardian’s signature and that my relationship with VOX will be ended if I violate any of the policies.
PARENT/GUARDIAN: by clicking "Yes" below, you acknowledge and support the commitment your teen is making to VOX. *
If you have questions about this commitment, please call our program staff at 404-614-0040 to discuss.
Parent/Guardian consent (please read and electronically sign below by typing your name into the box provided) *
I acknowledge that I have been informed that this program is not a licensed child care facility. I also understand this program is not required to be licensed by the Georgia Department of Early Care and Learning and this program is exempt from state licensure requirements.I understand and agree to abide by and support VOX's stated policies above, for as long as my child is affiliated with VOX Teen Communications. In the case that any policy is violated, I understand I will be notified that the relationship with the organization will be ended. I understand that VOX’s school-year services are provided free of charge. I understand that VOX will make all reasonable efforts to provide safe activities and a safe environment, which may include transportation, and I relieve VOX Teen Communications and its agents from any and all liability.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of VOX Teen Communications.

Does this form look suspicious? Report

Google Forms