Work Entry

Volunteer Application

We're excited to have you join us and help create lasting impact. Please complete this form and we'll get back to you shortly.

First Name

Last Name

Mobile Phone

Gender

What is your T-Shirt Size?

Birthdate

Address

Which position(s) are you interested in?

Which position(s) are you interested in? is required.

Why do you want to volunteer at City of Refuge?

Volunteer Start date

Ideal Length of Time to Volunteer

Most Available Time of Day

Special Skills or Hobbies?

How did you hear about City of Refuge?

Volunteer Waiver * I attest that my signature below grants that I have read, understood, and agree to all parts of this document in full. I understand that my signature below releases the non-profit organization of City of Refuge from any liability for any injuries, health related issues, or other work related problems. I am volunteering of my own volition and will not hold City of Refuge accountable for any damages I might incur while participating. I realize I will be my own judge and act in accordance on my own behalf and not engage in activities I do not feel able to perform based on my medical conditions/history, or any other reason that I feel compelled to not participate in said activity.

PLEASE TYPE YOUR FULL NAME BELOW:

Media Consent: I acknowledge that my signature below means that I have read, understand, and agree to allow City of Refuge to videotape, photograph, or record my image, voice, or both either before, during, or after any City of Refuge sponsored event, workshop, or affiliated activity to be used for, but not limited to, the purposes of public relations, fundraising, advertising, education, and community outreach. I further understand that I waive all claim(s) to recompense for damages from City of Refuge or affiliates for the use of my image, voice, or both being reproduced for the purposes stated above by City of Refuge or affiliates.

PLEASE TYPE YOUR FULL NAME BELOW:

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