Volunteer Application Form
Thank you for your interest in the Weeksville Heritage Center! Please fill out this form and follow the instructions.
Name *
First and last name
Your answer
Address *
Street Address/Apt #/City/State/Zip Code
Your answer
Email *
Your answer
Phone number *
Your answer
Available Start Date *
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DD
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How did you learn about WHC?
Availability *
Please check the days you are available to volunteer at WHC
Required
Skills & Talent *
Please check all that apply
Required
Areas of Interest *
Please check all that apply
Required
In Case of Emergency, Please Notify: *
Please include your contact's Name/Relationship/Cell Phone #
Your answer
Disclaimers and Consent Title
Release from Liability
I, ______________________________________, acknowledge and agree that as a volunteer for Weeksville Heritage Center, I will not receive any monetary compensation for myself, or any other form of remuneration from Weeksville Heritage Center. I agree to hold harmless and hereby indemnify Weeksville Heritage Center, if through the course of my volunteer work I am injured, become ill and/or require medical treatment. I hereby waive any claim, known or unknown, against Weeksville Heritage Center, its officers, directors and/or employees resulting from such circumstances.


Statement of Understanding and Consent

I hereby swear and attest that all information provided on this application is true and complete to the fullest extent of my knowledge. If I am accepted as a Weeksville Heritage Center volunteer, I understand my obligation to fulfill my volunteer responsibilities to the best of my ability. I acknowledge and agree that in the case of extenuating circumstances, I am not obligated to serve as a Weeksville Heritage Center volunteer.

I further agree to accept the supervision of the appropriate individual(s) at my assigned volunteer placement and to discontinue my service if I am requested to do so by the organization.

I understand once I am assigned to a volunteer placement I will be required to maintain contact with Weeksville Heritage Center for the purpose of monitoring and assessing the client/volunteer relationship.

Weeksville Heritage Center will contact my references and may conduct a background check. Weeksville Heritage Center reserves the right to reject a candidate for any reason that the agency, in its sole judgment, determines will or may affect either the best interests of Weeksville Heritage Center. Furthermore, Weeksville Heritage Center reserves the right to withhold the reason(s) for such a refusal.

I have read and understand the above and my signature consent to these statements.

Signature of Applicant
Your answer
Date
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DD
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YYYY
Submit your cover letter or resume
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