Volunteer Application

CONTACT INFO

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Can we add you to our OC United email list?(Required)

Birth Date(Required)

We love to send our volunteers birthday cards! Please enter your birthdate here!

Address(Required)

Street Address Address Line 2 City State ZIP Code

EDUCATION & EMPLOYMENT

Highest Grade Level Completed(Required)

Current Employer(Required)

If not employed, please explain (i.e., "Unemployed", "Retired", etc.)

Occupation / Position Title(Required)

If not employed, please explain (i.e., "Unemployed", "Retired", etc.)

English Language?(Required)

Yes

Spanish Language?(Required)

Yes

Other Language(s)

This field is hidden when viewing the form

Languages Spoken

English

Spanish

Other

Are you CPR/First-Aid/AED Certified?(Required)

EMERGENCY CONTACT INFO

Name(Required)

First Last

Phone(Required)

Email(Required)

Relationship to you(Required)

QUESTIONS

How did you find out about OC United?(Required)

Why are you interested in volunteering with OC United? What do you hope to gain from being a volunteer?(Required)

Have you had any previous experience as a volunteer? With which organizations, and what kind of work did you do?(Required)

Which volunteer skills do you possess that would be helpful in connecting you to a relevant volunteer role?(Required)

Select all that apply

Which additional skills or qualities do you possess that might be useful in volunteering with OC United?(Required)

Are you pursuing an internship with us?(Required)

If "Yes" please select which appropriate programs below

Yes

Are you interested in a particular volunteer area/opportunity?(Required)

Please select all that apply

This field is hidden when viewing the form

[Depreciated] Are you interested in a particular volunteer area/opportunity?

Please select all that apply

What do you know about the area(s) you have selected?(Required)

Or if you don't know which area, please comment here also.

AVAILABILITY

Sundays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Mondays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Tuesdays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Wednesdays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Thursdays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Fridays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Saturdays(Required)

Not Available

Mornings

Afternoon

Evenings

Other

Notes

If you selected other, please specify.

REFERENCES

Please select 3 character references. Volunteers are required to have at LEAST 2 references who are not current staff or volunteers for OC United. Thank you!

Reference #1

Name(Required)

First Last

Phone(Required)

Email(Required)

Relationship(Required)

Reference #2

Name(Required)

First Last

Phone(Required)

Email(Required)

Relationship(Required)

Reference #3

Name(Required)

First Last

Phone(Required)

Email(Required)

Relationship(Required)

CONCLUSION

Have you ever been convicted of a federal offense?(Required)

(If yes, please provide details in notes section below)

Would you be willing to have a background check completed?(Required)

A security check is required for all volunteers with OC United. This involves a check of police records.

Is there any additional information that OC United should know about you?(Required)

(If yes, please provide details in the notes section provided below.)

Notes

CONTRACT

In consideration for being allowed to participate as a volunteer or intern (the “Activity”) by OC United Together (“OC United”), the sponsoring organization (herein after the “Entity”) the Undersigned does hereby agree to this express waiver of liability against the Entity, and makes the release and Indemnity Agreement with Entity set forth below. The Undersigned, for themselves, and their personal representatives, assigns, heirs, and next of kin, and each and every one of them: As a condition of being allowed to volunteer with the Activity, voluntarily and absolutely releases and discharges the Entity and its officers, agents, and employees, from any and all losses, damages, actions or causes of action resulting from volunteering with Love Fullerton; whether or not such injuries or damages are caused by negligence (active or passive). The Undersigned agrees to obey instructions given by the person(s) having supervision and control over the Undersigned’s position. Hereby indemnifies and holds harmless the Entity and its officers, agents, servants, or employees (“Indemnitees”) from any and all claims or causes of action by any person or entity, and under no circumstances will present any claims against Indemnitees for personal injury, property damage, or wrongful death caused by any act of negligence (active or passive) by Indemnitees. Hereby gives permission to the physician selected by the Entity and/or its Released Party personnel then present to render medical treatment deemed necessary and appropriate by the physician or dentist. The undersigned consents to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care upon the advice of or rendered by a physician, nurse, surgeon, or dentist. The undersigned is authorized to consent to services to be rendered, and no other consent is required by law. Hereby agrees that any injury as a result of volunteering with the Entity and the Released Party, recourse for payment of hospital, medical, dental, or related costs and expenses will be paid by me or my spouse, accident, hospital or medical insurance, or any benefit plan of mine or my spouse. Hereby acknowledges that participation in the Activity constitutes approval to be videoed and photographed and for those videos or photographs to be used in the Entity and/or its Released Party’s-related publications and website(s) without compensation therefor. The Undersigned hereby warrants that the foregoing statements are true and correct and that the Undersigned understands that the Entity has relied upon such warranties in entering into this Agreement, and making the premises available for use by the Undersigned. No oral representations, statements, or inducements have been made by or between the parties to this Agreement with respect to the subject matter of this agreement, apart from the matters set forth within this Agreement. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS AND LEGAL CONSEQUENCES. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I AM AWARE THAT THIS IS AN EXPRESS WAIVER OF LIABILITY AND A RELEASE AND INDEMNITY AGREEMENT BETWEEN THE ENTITY, AND MYSELF AND I AGREE TO IT WITH MY OWN FREE WILL.

Today's Date(Required)

Applicant's Electronic Signature(Required)

First Middle Last

Signature of Parent / Guardian

If applicant is under 18 years of age.

First Middle Last

Parent / Guardian Phone Number & Email

Name

This field is for validation purposes and should be left unchanged.

VOLUNTEER APPLICATION

CONTACT INFO

EDUCATION & EMPLOYMENT

EMERGENCY CONTACT INFO

QUESTIONS

AVAILABILITY

REFERENCES

Reference #1

Reference #2

Reference #3

CONCLUSION

CONTRACT

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