Volunteer

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Gender:*

Male
Female
Gender nonbinary or nonconforming
Transgender
Something else
Prefer not to answer

Select how you identify, using as many or few descriptors as you feel comfortable.

Prounouns (e.x. she/her, he/him, they/them)*

Are you a student looking to receive credit?

Yes
No

If so, where are you a student and in what program are you enrolled?

If you hope to receive credit for volunteering, how so?

Internship, master's level
Internship, bachelor's level
Service learning hours

How did you hear about Face to Face?*

Why are you interested in volunteering with Face to Face?*

What work or life experiences makes you a good volunteer?*

Which areas are you interested in?*

Administrative or facilities
SafeZone
Mental health
Clinic
Not sure/other

Are you interested in volunteering for special events: tabling, fairs, etc.*

Yes
No
Not sure

Are there any medical/physical concerns to be considered in your volunteer assignment?*

Yes
No

If "yes," please explain:

Availability

Please indicate the times that you're generally available to volunteer. (Example: 1-5 pm)

Mondays:*

Tuesdays:*

Wednesdays:*

Thursdays:*

Fridays:*

Saturdays:*

Sundays:*

Emergency Contact

In case of emergency, please write down the name and contact info for someone whom we could get in touch with.

Contact Name*

First Last

Relationship to You:*

Contact Phone*

Would you like to receive news and updates from Face to Face?*

Yes
No

Consent Statement #1*

I have read the statement below and agree to it.

I certify that the information I have provided on this application is accurate and up to date. I understand that acceptance of this application does not constitute acceptance as a volunteer, and that assignment to a volunteer position is based on assessment by program staff and the availability of a suitable position for me. I further understand that submitting this application does not obligate me to act as a volunteer with Face to Face.

Consent Statement #2

I have read the statement below and agree to it.

I grant permission for Face to Face to use any/all photos taken of me for use in Face to Face publications without compensation.

Consent Statement #3*

I have read the statement below and agree to it.

I authorize all persons, schools, companies, corporations, state agencies, federal agencies, and law enforcement agencies to release information without restriction or qualification to Face to Face. I hereby release Face to Face from any liability arising from the preparation of this report or investigation relating thereto to the extent permitted by law. I agree that failure to reveal any requested information, or the giving of any false or misleading information on this form or any application form, may be grounds for refusal to enlist my services and negate any present or future volunteer or employment possibilities with this organization. Furthermore, I understand that any offer that has been made to me for the use of my volunteer services with Face to Face is contingent upon full disclosure of requested information and subject to personal reference checks. I understand that the results of said background check may disqualify me from volunteering at Face to Face and that any offer I have received is contingent upon this report and may be rescinded at any time as a result of findings deemed essential by Face to Face. I understand that this release is valid for the duration of my service at and that Face to Face may choose to investigate my background at any time during the term of my service.

I have read and understand the terms of this authorization and agree to the terms stated herein. A photocopy or facsimile of this authorization will be treated the same as an original.

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