Volunteer intake form – United Way of Greater Newark

We Believe In The Ability To Transform Communities Through The Power Of Volunteers.

Volunteering can be a deeply rewarding experience where you can make immediate
and lasting change by improving lives and building a stronger community.

What is the best way to contact you?

What days are you available to volunteer?

What time of the day are you available?

Which areas you are interested in volunteering?

Skills / Qualifications

Physical / Medical Limitations

Terms and Conditions

I AGREE

Volunteer Agreement
In agreeing to this liability waiver, I certify that I am a willing participant in the United Way of Greater Newark (UWGN) volunteer program. I agree to work according to instructions I receive. I agree to behave in a responsible manner. I agree to perform only work that I feel comfortable in doing and that I feel I can accomplish safely.

Permission – Use of Photographs
I grant permission to use individual and group volunteer photographs, films and videos of me for promotional or other uses furthering the mission of the UWGN, including use on the UWGN website.

Acknowledgement and Assumption of Risk
I recognize that the opportunity to participate in the UWGN volunteer program may involve physical labor and may carry a risk of personal injury and I hereby agree to assume all risks which may be associated with my participation.

I hereby release, discharge, waive and relinquish all claims, liabilities and damages I may sustain from bodily injury, personal injury or property damage and hold harmless the UWGN, its officers, directors, employees and agents.

CONSENT*
By checking this box, I acknowledge that I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which may otherwise be available to me regarding any losses I may sustain as a result of my participation.

We Believe In The Ability To Transform Communities Through The Power Of Volunteers.

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