Gorge Rebuild-It Center Volunteer Form
Thank you for your interest in joining our team! Please complete this form to volunteer with the Gorge ReBuild-It Center. Check our website, rebuildit.org, or contact us at 541-387-4387 if you have any questions.
Email address *
Full Name
Your answer
Home Address
Your answer
Phone
Your answer
Emergency Contact Name and Phone
Your answer
Are there any physical or health concerns that we should know about in order to place you safely in a volunteer project?
Your answer
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however we will not send you any email you prefer not to receive. Select the kinds of email you would like to receive from us.
When are you available to volunteer?
Your answer
What special skills, training, or hobbies should we know about?
Your answer
Workplace Environment Statement for Everyone
All volunteers, staff, customers, donors, guests and visitors play an important role in making our work environment a safe, healthy, and welcoming place for all. Every person who enters our facility is valued, appreciated and treated with kindness. The workplace environment of Gorge Rebuild-It Center is founded on respect for each and every person, no matter their race, gender, age, religion, ability, sexual orientation, national origin, marital or military status.

Please leave valuables at home. Gorge Rebuild-It Community Project dba Gorge Rebuild-It Center cannot be responsible for missing or damaged items.
Photo and Media Release
Gorge Rebuild-It Community Project dba Gorge Rebuild-It Center has the unrestricted right and permission to take, use, reuse, publish, and republish captured media including video, photos, and audio of the subjects made through any medium at GRCP’s offices, facilities, job sites, or elsewhere. I waive any right to inspect or approve the finished product or products, copy or printed matter that may be used in connection with such media or the use to which it may be applied. I understand that the media may be used in a public campaign for awareness.

I release, discharge, and agree to hold harmless and defend Gorge Rebuild-It Community Project dba Gorge Rebuild-It Center from any liability by virtue of any reason in connection with the making and use of such media, including without limitation any claims for libel or violation of any right of publicity or privacy.
I have read the Photo and Media Release above, and I am fully familiar with its contents. I agree that this media permission release is valid indefinitely, until I notify GRCP otherwise. By answering "Yes" to this question, I am making a legal agreement.
Release of Liabiity Waiver
Volunteer Safety
Safety is a top priority for our organization. We frequently use heavy equipment such as forklifts, and electric power jacks. Large vehicles come and go throughout the day. Large heavy materials are unloaded and loaded throughout the facility. To ensure your safety and the safety of others, all volunteers are required to complete a Safety Orientation before beginning any volunteer activities. To prevent accidents and injuries, volunteers must wear closed toe shoes, pants and work clothes at all times, pants must pulled up, shoe laces tied. Excessively loose clothing that could catch on materials can’t be worn. No one is permitted to use headphones, ear buds, hands-on or hands-free phone devices at any time while volunteering in any work area.
Safety glasses, gloves and instruction on proper use of tools and equipment will be provided.
Safety is our highest priority while carrying out activities anywhere in the organization.

Release of Liability Waiver
I understand that safety is everyone’s responsibility, including my own. Keeping myself and others around me safe from potential injury will be my top priority while I volunteer.
I hereby agree, for myself, my heirs, assigns, executors, and administrators, to release and hold harmless Gorge Rebuild-It Community Project dba Gorge Rebuild-It Center, and all its officers, directors, employees, agents, and volunteers from all claims, demands and actions for injuries sustained to my person and/or property as a result of my volunteer involvement, whether or not resulting from negligence. Arbitration will be used to resolve any conflicts, and costs will be evenly split between involved parties. I hereby state that my involvement with Gorge Rebuild-It Community Project dba Gorge Rebuild-It Center is voluntary; that I am participating at my own risk and that I have read and agree to the foregoing terms and conditions of this release.
I have read the Release of Liability Waiver above and I am fully familiar with its contents. By answering "Yes" I agree that this liability release is valid indefinitely, until I notify GRCP otherwise. By answering "Yes" to this question, I am making a legal agreement.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy