Mar Vista Family Center - Volunteer Interest Form
If you are interested in volunteering in any of the MVFC programs, you will be asked to complete this online form or a physical Volunteer Packet (Volunteer Interest Form, Photo Release Form, Liability Release Form, and Volunteer Policies) in advance or at the time of your orientation.

Volunteers working with children will be asked to show proof of a recent TB test prior to starting their assignment. TB tests (i.e. skin tests, chest x-ray) should be conducted every 3 years and/or be valid throughout the extent of your service as a Volunteer within the Mar Vista Family Center.

Personal Information
Name *
Your answer
Address (Street, City, Zip) *
Your answer
Phone
Your answer
Email *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Current Status
School Information
School/Alma Mater
Your answer
Graduation Year
Your answer
Major
Your answer
Work Information (If Applicable)
Title
Your answer
Company
Your answer
Day(s) Available *
Required
Time(s) Available *
Required
Additional Availability Info
Your answer
Special Skills or Talents?
Your answer
Please list any prior volunteer activities
Your answer
Have you participated in any other Mar Vista Programs?
Select all that apply
What are your present goals for a volunteer position? *
Select all that apply
Required
How did you hear about us?
Were you referred to Mar Vista Center by someone? If so, please list their name.
Your answer
Checklist for Skills and Interests: (Check all that apply) *
Required
Emergency Contact Information and Medical Clearance
Emergency Contact Name *
Your answer
Emergency Contact's relationship to you *
Your answer
Emergency Contact Phone *
Your answer
Any medical conditions or allergies that we should be aware of?
Your answer
Volunteer Release and Waiver of Liability
I release the Mar Vista Family Center, a nonprofit corporation existing under the laws of the State of California, and each of its directors, officers, employees, and agents from any liability.

As I Volunteer, I understand that the scope of my relationship with the Mar Vista Family Center is limed to a volunteer position and that no compensation is expected in return for the services I provide. The Mar Vista Family Center will not provide any benefits traditionally associated with employment and I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my service.

Waiver and Release: I, the Volunteer, release the Mar Vista Family Center from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide the Mar Vista Family Center as a volunteer (i.e. bodily or personal injury, illness, death, property damage or loss, etc.).

Insurance: Further, I understand that the Mar Vista Family Center does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance of any nature in the event of injury, illness, death, or damage and/or loss of property. I expressly waive any such claim for compensation or liability on the part of the Mar Vista Family Center beyond what may be offered freely by the Mar Vista Family Center in the event of such injury or medical expenses incurred by me.

Medical Treatment: I hereby release and discharge the Mar Vista Family Center from any claim whatsoever which arises or may hereafter arise on account of any first aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with the Mar Vista Family Center.

Assumption of Risk: I understand that the service I provide the Mar Vista Family Center may be hazardous to me and I hereby expressly assume the risk of injury or harm from these activities and release the Mar Vista Family Center from all liability for injury, illness, death or property damage resulting from services I provide as a volunteer or occurring while I am providing volunteer services.

Photo Release
I grant to Mar Vista Family Center, its representative and employees, the right to record my likeness on video, audio, photographic, digital or any other electronic medium.

I allow the Mar Vista Family Center the right to use my likeness for reproduction, exhibition, or distribution in any medium (i.e. print and digital publications, advertisement, video, websites, social media etc.)
I understand that my participation in digital and print publications produced by the Mar Vista Family Center is voluntary and that I will receive no financial compensation.

Please type your first and last name below. If you are under the age of 18, have a parent or guardian provide their digital signature.
First & Last Name *
Your answer
Electronic Signature *
Required
Important Note:
After completing this volunteer form, call us at 310-390-9607 (M-F, 9am-4pm) to setup an orientation. If you have any questions or concerns, email us at volunteer@marvistafc.org
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms