I would like to Volunteer!

Contact Information

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone*
Employer

Confidentiality Pledge

I understand that in the course of my volunteer work with Transitions/ Midlands Housing Alliance, Inc. I may have access to confidential information and materials relating to Transitions, its donors, partnering agencies, and clients. I understand that certain information is protected by federal law and I agree not to disclose any information.  I further understand that failure to comply with this pledge will result in my immediate termination as a volunteer.

Waiver and Release of Liability

This is to certify that I wish to participate by volunteering my services at Transitions. I am fully aware of, and hereby acknowledge, that my work as a volunteer could involve inherent risks and dangers. I, being of sound mind, hereby release Transitions, its agents, and employees from any liability or any consequences of my request to participate in this service. I make this release entirely of my own free will, without any threats, coercion or encouragement from any employee of Transitions.

 

I voluntarily and without compensation permit Transitions to take and use visual/audio images of me and I agree that Transitions owns the images and all rights related thereto.  I further grant Transitions, without time restrictions, full rights to republish or rebroadcast these images and to use such images in their official reports and for their official business. I release Transitions, and any firm authorized to publish and/or distribute a finished product containing the images, from any claims, damages or liability that I may have in connection with the taking of or use of the images or printed material used with the images.  I also understand that I am not allowed to take any photographs or video tape clients that are served at Transitions.   

I HAVE CAREFULLY READ THE CONFIDENTIALITY PLEDGE AND WAIVER AND RELEASE OF LIABILITY AND           I FULLY UNDERSTAND ITS CONTENTS. I AM SIGNING THIS DOCUMENT ON MY OWN FREE WILL.

Volunteer Information

Volunteer Availability*
  • Weekday Morning
  • Weekday Afternoon
  • Weekday Evening
  • Weekend Morning
  • Weekend Afternoon
  • Weekend Evening
Volunteer Skills
Emergency Contact (Name & Number)
Volunteer Type
  • Individual Volunteer
  • Volunteer Group

Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that if I am accepted as a volunteer any false statements, omissions or other representations made by me on this application may result in my immediate dismissal.

Agreement Date
Agreement Signature
Additional Comments

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