LHFA - Student Volunteer Form
Eligibility criteria for Student Volunteers for LHFA-Pals Program:
  • Recommending High school students
  • Middle school students will be considered on a case by case basis
  • Must be patient and thoughtful when handling special needs children
  • Must be dedicated and responsible and expected to notify in advance if cannot make it on a day/session
  • May expect to volunteer during special occasions such as LHFA picnic, holiday parties, etc.
IMPORTANT: SUBMITTING THIS FORM IS NOT AN ELIGIBILITY TO VOLUNTEER. The student volunteer will be contacted by our LHFA-Pals Coordinator to schedule an interview as a part of screening process before assigning him/her as a volunteer.
Sign in to Google to save your progress. Learn more
Name of the Student Volunteer *
Grade at School *
Does the Student Volunteer have any prior experience working with special needs children? *
Does the student volunteer have a sibling with special needs? *
Phone number of the student volunteer (if available)
Name of the Parent *
Phone number of the parent *
Please read carefully and enter your name below. *
I am the parent or legal guardian of the Volunteer. I am of legal age and am freely signing this agreement.
I have read below and understand that by entering my name here, I am giving up legal rights and remedies.  I understand and agree that Loving Hearts For All (LHFA) is not responsible for any injury or property damage
arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise.
I am aware that my child is voluntarily participating in the Volunteer Activities and I agree to accept all risks of his/her participation. I also agree to indemnify and hold harmless the  Loving Hearts For All (LHFA) for all claims arising out of my child's participation in the Volunteer Activities. I also acknowledge that the Loving Hearts For All (LHFA) has not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer (if Volunteer is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, my child is in good health and suffer no physical impairment that would or should prevent his/her participation in Volunteer Activities.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms