Thank you for your interest in volunteering with us! Please complete the volunteer application form below. You will receive an email confirming that your application has been received along with a follow up phone call. We are a volunteer-led organization, please give us a couple of days to reply. Please know that all volunteers must be able to complete and pass a background check before volunteering with us. Thank you so much for donating your time and talent!
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Date of Birth DD/MM/YYYY
Emergency Contact Phone Number
(Optional) If you would like us to know of any medical conditions/ disabilities or medicines you are taking, you may list them here.
Waiver of Liability and Release
I wish to volunteer for Second Story Ministries, LCC, doing business as Second Story Teen Center (SSTC). I understand that the nature of volunteer activities that I may perform as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer,
I hereby assume full and complete responsibility for any personal injury and/or property damage that I sustain or cause as a volunteer. In addition, I hereby release, hold harmless and covenant not to file suit against
Second Story Ministries, LCC, doing business as Second Story Teen Center
and any of their employees, volunteers, partners, agents, sponsors, board members and successors from any and all loss, liability or claims I may have arising out of my service as a volunteer.
I understand that as a volunteer, I may become privy to confidential information about
Second Story Ministries, LCC, doing business as Second Story Teen Center (SSTC)
. I agree to maintain the confidentiality of any information marked “confidential” as well as any information about SSTC internal procedures, business operations, personnel information and the like that is not otherwise publicly disclosed by SSTC. I will not use any confidential information in any manner that would be detrimental SSTC and I will avoid any actions that might impair the reputation SSTC.
I hereby give Second Story Ministries, LCC, doing business as Second Story Teen Center (SSTC), their assigns, licenses, and legal representatives the irrevocable right to use my name, image, voice, physical likeness, video, and photograph (collectively, “Likeness”) in all forms and media and in all manners for SSTC publications or any other lawful purpose. I waive any right to compensation or to inspect or approve the finished product, including written copy, that may be created in connection therewith, in consideration of the worthy mission of SSTC and its non-profit status. I further acknowledge and agree that I have no ownership interest in my Likeness or in the media.
I further understand that SSTC is not obligated to use my Likeness in any manner or respect.
I am of full legal age (18 years old or older). By typing my name in the box below and by clicking the submit button at the end of this volunteer application form, I agree that I have read this Waiver of Liability and Release and am fully understand its contents.
By typing your name you agree to the liability/ media release waiver and confidentiality agreement above.
Cook/ Kitchen Assistant
Arts & Crafts Class Instructor
Other (Please specify in comments section)
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