Volunteer Application
Core Volunteer
First Name
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Last Name
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Address 1
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Address 2
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City
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State
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Zip
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Would it be OK to contact you through a phone call or text? (our primary means of communication is email)
Tell us something about yourself. Any special talents or interests you would like us to know about?
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How did you hear about Austin Creative Reuse?
Your answer
What type of volunteering interests you most? (check all that apply)
Phone Number
Your answer
Photo and Media Release
Austin Creative Reuse takes photos and quotes both for internal documentation and to help promote our mission to the public. Do you authorize Austin Creative Reuse and its agents to use your likeness or quotes in its website, print materials and social media promotions.‎
Please Check One for Photo and Media Release
Volunteer Waiver and Release of Claims
To the extent provided Texas State Law, I hereby fully and forever waive, release and relinquish any and all claims, demands and actions whatsoever that I may have or may accrue to me against Austin Creative Reuse, its officers, agents, volunteers and employees arising out of this activity and/or any volunteer associated with or connected with this activity. Furthermore, I agree to indemnify and hold harmless and defend the Austin Creative Reuse from any and all claims and actions resulting from injuries, damages or losses sustained by me or my child and arising out of, connected with, or in any way associated with this activity. I have read this agreement fully and understand its content and sign it of my own free will. I further certify that I am 18 years of age or older or the parent/guardian of a minor participant.

Please check one for Release of Claims
Consent to a Background Check
I hereby give permission for Austin Creative Reuse to obtain information relating to my criminal history record through the Texas Department of Public Safety. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication. I understand this information will be used, in part, to determine my eligibility for an employment/volunteer position with the organization. I also understand as long as I remain an employee/volunteer with Austin Creative Reuse, the criminal history records may be repeated at any time. I understand I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received.

I, the undersigned, release and forever discharge and agreed to indemnify Austin Creative Reuse from and against any and all causes of action, suits, liabilities, costs, debts and sums of money, claims and demands whatsoever, and any and all related attorney’s fees, court costs, and other expenses resulting from the investigation of my background in connection with my application to become a volunteer/staff member.

Please Check One for Consent to a Background Check
You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers and may assist with grant reporting,
Date Of Birth
MM
/
DD
/
YYYY
Education Level
Gender
Languages other than English
Your answer
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