Volunteer Application

Thank you for your interest in volunteering with OC United! Volunteers play a vital role in our programs. All volunteer applications are reviewed with consideration of our currently available volunteer opportunities. The information you provide will be stored in confidence under the provisions of the Data Protection Act. Your completed form will be held securely and confidentially. Only authorized staff will have access to your information.

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

CONTACT INFO

Name(Required)
Preferred Communication Method
We love to send our volunteers birthday cards! Please enter your birthdate here!
YYYY dash MM dash DD
Gender

Address(Required)

EDUCATION & EMPLOYMENT

If not employed, please explain (i.e., "Unemployed", "Retired", etc.)
If not employed, please explain (i.e., "Unemployed", "Retired", etc.)
English Language?(Required)
Spanish Language?(Required)
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Languages Spoken

EMERGENCY CONTACT INFO

Name(Required)

QUESTIONS

Which volunteer skills do you possess that would be helpful in connecting you to a relevant volunteer role?(Required)
Select all that apply
Are you pursuing an internship with us?(Required)
If "Yes" please select which appropriate programs below
Are you interested in a particular volunteer area/opportunity?(Required)
Please select all that apply
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Please select all that apply
Or if you don't know which area, please comment here also.

AVAILABILITY

Sundays(Required)
Mondays(Required)
Tuesdays(Required)
Wednesdays(Required)
Thursdays(Required)
Fridays(Required)
Saturdays(Required)
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)

Reference #2

Name(Required)

Reference #3

Name(Required)

CRIMINAL BACKGROUND

As a condition of being allowed to volunteer and/or intern with OC United, you will be required to complete a criminal background check ("Live Scan"). If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any future risk of embarrassment upon disclosure.
Have you ever been convicted of or plead guilty to any crimes (including crimes of record which have been expunged and pleas of 'no contest'), including municipal, state and federal?(Required)
(If yes, please provide details in notes section below)
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(If yes, please provide details in notes section below)
Have you ever been placed on probation, received a Suspended Execution, Suspended Sentence, or Suspended Imposition of Sentence for any offense involving a minor child (a child under 18), or been placed on ANY local, state, or federal sexual registry?(Required)
(If yes, please provide details in notes section below)
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Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child?(Required)
(If yes, please provide details in notes section below)
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(If yes, please provide details in notes section below)
Have you ever been subject to any court order involving any sexual, physical, or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?(Required)
(If yes, please provide details in notes section below)
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(If yes, please provide details in notes section below)
Have you ever resigned, been terminated or been asked to resign from a position, whether paid or as a volunteer, due to a complaint(s) of sexual, physical, or verbal abuse of minors?(Required)
(If yes, please provide details in notes section below)
This field is hidden when viewing the form
(If yes, please provide details in notes section below)
A security check is required for all volunteers (over the age of 18) with OC United. This involves a check of police records.
(If yes, please provide details in the notes section provided below.)

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.
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Applicant's Electronic Signature(Required)
Signature of Parent / Guardian
If applicant is under 18 years of age.

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