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Friendship Circle

Volunteer Application


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Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
First Name *
Last Name *
Birthday (MM/DD/YY) *
Gender *
Street Address Line 1 *
Street Address Line 2
City *
State *
Zip Code *
Mobile Phone *

For example, 123-456-7890
School *
If You Chose Other, Please Enter Your School Name
If you have any allergies we should know about, please them describe here.
Parent 1 Name *
Parent 1 Phone Number *
Parent 1 Email *
Parent 2 Name
Parent 2 Phone Number
Parent 2 Email
Please check here to provide consent to use your photo *
Reference 1 Name *
Reference 1 Phone Number *
Reference 1 Email *
Reference 2 Name *
Reference 2 Phone Number *
Reference 2 Email *
How did you hear about us? *

Waiver

I will promote the creation of a friendship community based on mutual respect and a sense of personal well-being. I will treat others with honor and respect because we are all created in the image of G-d.
As a volunteer of Friendship Circle:
∗ I understand that Friendship Circle expects me to behave responsibly. I agree to utilize my best judgment and sense of responsibility when spending time with the child with whom I am matched.
∗ I understand that the use of a cell phone during a Friendship Circle program is not acceptable and should only be used in case of emergency.
∗ I agree to respect the privacy of all participants of the Friendship Circle and to keep personal information confidential.
∗ I understand that once I commit to attend an event, the Friendship Circle staff and special friends expect me to be there. I agree to attend and give it my best effort. In the event that I cannot attend, I agree to give notice to Friendship Circle staff, at least 48 hours in advance.
∗ If someone gets hurt or some other incident occurs while I am volunteering, it is my responsibility to immediately report the occurrence to Friendship Circle staff.
∗ I have carefully read and agree to abide and be bound by all additional rules and policies in the Friendship Circle Handbooks and any additional rules pertinent to specific events.
Understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct.
• Understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for myself and/or my child to participate in this activity.
• Do not use or possess any illegal drug, alcohol or controlled substances at any time, including at Friendship Circle events or programs.
• Do not bring any weapons, firearms or other dangerous items to any Friendship Circle event or program.
• Do not have any unsecured firearms in a home which hosts a Friends at Home program; • Have not and do not have any individual that has been convicted of a crime, other than minor traffic violations, living at or visiting a home that hosts a Friends at Home program and have not themselves been convicted of a crime.
•I do not have any individual that has a history of violence or abuse of any kind living at or visiting a home that hosts a Friends at Home program. • Agree to a background check by signing the attached authorization.
• • Agree Friendship Circle is not responsible for any damages to personal property or injury in which the Friendship Circle had no knowledge of the particular hazard or any activity outside of Friendship Circle sponsored events.
• Friendship Circle is an independently owned, operated and controlled local corporation.
• Release Friendship Circle, the directors, board, officers, activity coordinators, and all employees, volunteers, related parties, and other organizations associated with the activity from any and all claims or liability arising out of this participation.
I agree to volunteer for Friendship Circle. I grant Friendship Circle permission to use my name, image, likeness, or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts. Page 2
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