VOLUNTEER APPLICATION

Are you over the age if 18? *

 
First Name * ______________________________________________________
Last Name * ______________________________________________________
Address (no PO Boxes) *
     Address _________________________________________________________
     City _____________________________________________________________
     State ____________________________________________________________
     Zip Code _________________________________________________________
     Country __________________________________________________________
Cell Phone * ________________________________________________________
Email * _____________________________________________________________
 
How did you learn about the FYSH Foundation? *
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Why do you want to volunteer with the FYSH Foundation? *

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  

Previous Volunteer Experience *
Position | Organization | Date(s)
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Special Skills, Knowledge and Expertise
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  

What Is Your Position of Interest *
examples: fishing, hiking, event help, catering, donation assistance, put me where you need me, legal
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Have you received certification in any of the following?

What Is Your Availability *

What Is Your Time commitment desired *
Enter the number of hours per event _____________
Enter the number of hours per week ______________
 
Personal References:
One should be someone you know in a professional capacity, and the other can be a neighbor, friend or colleague.

Reference Number One:
            First Name * _______________________________________________
            Last Name * _______________________________________________
            Cell Phone * _______________________________________________
            Email * ____________________________________________________
            Their Relationship To You* ___________________________________
 
Reference Number Two:
            First Name * _______________________________________________
            Last Name * _______________________________________________
            Cell Phone * _______________________________________________
            Email * ____________________________________________________
            Their Relationship To You* ___________________________________
 
Additional Information You Want To Share?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Photo Release
I hereby grant permission to the FYSH Foundation to use photographs and/or video of the participant, including minors, named on this application in publications, news releases, online, and in other communications related to the mission of the FYSH Foundation.

Emergency Contact:

Relationship to you *___________________________________________
            First Name *_____________________________________________
            Last Name *_____________________________________________
            Phone *__________________________________________________
            Email *___________________________________________________
 
By submitting my application to the FYSH Foundation, I hereby affirm that the statements made on this application are true. I also agree and completed the Volunteer Approval Terms & Conditions form. I understand that this is a non-paid volunteer position. If appointed as a volunteer of the FYSH Foundation, I agree to act in the best interest of the FYSH Foundation. I will fulfill my assigned volunteer activities to the best of my ability.

____ I agree with the statement above (initial)

_________________________________________________________________________________
Signature & Date

VOLUNTEER APPROVAL TERMS & CONDITIONS

1. I agree to arrive to my volunteer shifts on time and to advise the FYSH Foundation staff well in advance if my availability for my scheduled shifts changes. 
2. I agree to work under the guidance and supervision of the FYSH Foundation staff.
3. I agree to arrive for my shift 10 minutes before the scheduled time so that I may be informed of the particulars of my role for the event.
4. I will not attend a scheduled shift or event under the influence of alcohol or drugs, including marijuana.
5. I agree to advise the FYSH Foundation staff if I am unable or uncomfortable completing tasks assigned to me. The FYSH Foundation will understand these requests within reason; please give as much notice as possible.
6. I agree to inform the FYSH Foundation immediately of any injuries sustained while undertaking any volunteering activities.
7. As a member of the FYSH Foundation volunteer team, I will do my best to provide correct information and a positive attitude to all members of the public I deal with throughout the event.
8. I agree to work constructively and cooperatively with the FYSH Foundation staff and recipients and comply with any safety procedures as requested.
9. I understand that if I miss multiple scheduled shifts without explanation, I may be asked not to return.
10. I understand that I am volunteering my services to the FYSH Foundation and will not receive any remuneration.

Criminal Background

If your records have been expunged according 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 pleaded guilty to any crimes (including crimes of record which have been expunged and pleas of "no contest"), including municipal, state, and federal?*

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?*

 
I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in my removal as a volunteer or volunteer applicant. All provided information  will be held in confidence.

Please provide the following information:
Full Legal Name: _________________________________________________
Date of Birth: ____________________________________________________
Current Address (no PO Box): ____________________________________________________________________
Previous Address(es) for the past 5 years: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Phone Number: _________________________________________________
Email: __________________________________________________________
Social Security Number: __________________________________________

I certify that all the information provided in this application (or any other accompanying or required documents) is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer or immediate removal as a volunteer, regardless of the timing or circumstances of discovery. In consideration of the receipt and evaluation of this application by the FYSH Foundation, I hereby authorize you to contact any references, charities, courts, and any other person, agency, or organization that may have information about me and for them to provide to you such information (including opinions) that they may have regarding my character and fitness for working with children and adult recipients of the FYSH Foundation; I hereby release any such references, charities, courts, and any other person, agency or organization who may have provided information about me, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I also agree to hold the FYSH Foundation and any other person to whom the release above applies harmless from any damages, specifically including attorney fees and court costs, created by or relating to my unwarranted attempt to collect damages for providing the information described above or any other unwarranted action by me in connection with this application. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.

In addition, I hereby release and agree that I, my successors, assignees, heirs, guardians, and legal representatives will not make any claims or take any legal actions against the FYSH Foundation or any of its affiliated organizations, or its officers, directors, employees, agents, or volunteers ("Released Parties"), for my injury, death, damage or loss, however caused, arising from or in connection with my participation in the FYSH Foundation activities. I will hold the Released Parties harmless from any costs or loss, including attorney fees and court costs, arising from or in connection with my activities in violation of these provisions.
I understand that submitting an application does not guarantee acceptance as a volunteer. I further understand that should the FYSH Foundation extend an offer to me as a volunteer, it is for no specific duration and may be revoked by either the FYSH Foundation or me at any time, with or without cause. I understand that none of the documents, policies, procedures, actions, or statements of the FYSH Foundation or their representatives and agents used during the volunteer application process is deemed an offer for a contract or, in fact, a contract, real or implied. If accepted as a volunteer, I agree to conform to the rules, regulations, policies, and procedures while serving as a volunteer. I understand that such compliance is a condition of remaining a volunteer. I have carefully read the above Application and this Acknowledgement and Release and know and understand its contents; I also know the above is legally binding on me. I sign this Application and Release of my own free will.

By submitting my application to the FYSH Foundation, I hereby affirm that the statements made on this application are true. I also agree and completed the Volunteer Application form. I understand that this is a non-paid volunteer position. If appointed as a volunteer of the FYSH Foundation, I agree to act in the best interest of the FYSH Foundation. I will fulfill my assigned volunteer activities to the best of my ability.

____ I agree with the statement above (initial)

_________________________________________________________________________________
Signature & Date

Please email completed Volunteer Application to: help@fyshfoundation.org
(all fields with asterisk are required. Incomplete application will not be considered.)