Please complete this application form if you are interested in becoming a Sunflower Hill Volunteer. Once you complete the form, click the Continue button at the bottom. Once you've submitted your form, someone from our staff will contact you at the phone number you've listed below to confirm your interest.


I'm interested in...

Sunflower Hill offers a variety of ways to get involved as a volunteer. Please select the volunteer opportunity you are interested in (mark all that apply).



How did you find out about us?


Name


Address


Phone


Gender


Disabled


Birthdate


Ethnicity/Race

Sunflower Hill is required to report this information in order to continue receiving grant funds and land use rights necessary to deliver programming for our community.



Female Head of Household

Sunflower Hill is required to report this information in order to continue receiving grant funds and land use rights necessary to deliver programming for our community.



Permission to be Photographed/Videoed/Audio Record

Occasionally, Sunflower Hill programs or activities may be photographed, videotaped, or audiotaped for educational, publicity or fundraising purposes. By giving permission, you also agree to convey to Sunflower Hill any right, title, interest in/to any and all photographic images and/or video and audio recordings (e.g. any royalties/proceeds).



Liability & COVID-19 Waiver

I agree to the Volunteer Liability Waiver Terms Below:


This document sets forth the responsibilities and understandings of the Volunteer and of Sunflower Hill, a California non-profit organization, regarding the Volunteer’s participation in programs partially or wholly coordinated by, or otherwise related to, Sunflower Hill. The volunteer and Sunflower Hill agree as follows:


The Volunteer performs the service of the Volunteer’s own free will, without promise, expectation, or receipt of remuneration. The Volunteer is not an employee or agent of Sunflower Hill for any purpose, and the Volunteer’s services are not controlled nor mandated by Sunflower Hill.


If the Volunteer is under the age of 18, the Volunteer may only participate in volunteer service with the express written consent of the Volunteer’s parent or guardian.


If the Volunteer is over 18, and is the subject of a conservatorship, the Volunteer may only participate in volunteer service with the express written consent of the Volunteer’s conservator.


ASSUMPTION OF RISK. THE VOLUNTEER UNDERSTANDS AND AGREES THAT THE VOLUNTEER SERVICES MAY INCLUDE WORK THAT IS HAZARDOUS TO THE VOLUNTEER,INCLUDING, FOR EXAMPLE, THE USE OF TOOLS AND EQUIPMENT AND TRAVELING TO AND FROM THE WORK SITE, AND IT IS POSSIBLE THAT THE VOLUNTEER MAY BE INJURED OR OTHERWISE HARMED DURING VOLUNTEER SERVICE DUE TO ACCIDENTS, ACTS OF NATURE,THE VOLUNTEER’S NEGLIGENT OR INTENTIONAL ACTS, THE NEGLIGENCE OR INTENTIONAL ACTS OF OTHERS, OR THE NEGLIGENCE OF SUNFLOWER HILL OR PERSONS ACTING ON ITS BEHALF; THAT SUNFLOWER HILL IS NOT RESPONSIBLE FOR THE SAFETY OF THE VOLUNTEER OR THE VOLUNTEER’S PROPERTY WHILE THE VOLUNTEER IS ENGAGED IN VOLUNTEER SERVICE; AND THAT THE VOLUNTEER MUST TAKE FULL RESPONSIBILITY FOR HIMSELF OR HERSELF AND HIS OR HER PROPERTY AND HEREBY ASSUMES THE RISK OF INJURY, ILLNESS,DEATH, OTHER HARM OR PROPERTY DAMAGE RESULTING FROM OR RELATED TO THE VOLUNTEER’S SERVICE.


RELEASE AND WAIVER. AS CONSIDERATION FOR BEING ACCEPTED AS A VOLUNTEER BY SUNFLOWER HILL, THE VOLUNTEER HEREBY AGREES THAT THE VOLUNTEER AND THE VOLUNTEER’S ASSIGNEES, HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES WILL NOT MAKE A CLAIM AGAINST OR SUE SUNFLOWER HILL OR ITS DIRECTORS, EMPLOYEES, AGENTS,CONTRACTORS, SUCCESSORS, AFFILIATES OR ASSIGNS FOR INJURY, ILLNESS, DEATH, OTHER HARM OR PROPERTY DAMAGE RESULTING FROM OR RELATED TO THE VOLUNTEER’S SERVICES, INCLUDING, FOR EXAMPLE, INJURY, ILLNESS, DEATH, OTHER HARM OR PROPERTY DAMAGE RESULTING FROM THE NEGLIGENCE, WHETHER ACTIVE OR PASSIVE, OR OTHER ACTS, HOWEVER CAUSED, OF (I) THIRD PARTIES SUCH AS OTHER VOLUNTEERS OR (II) SUNFLOWER HILL OR ANY OF ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, OR CONTRACTORS (TOGETHER, THE “CLAIMS”). THE VOLUNTEER HEREBY RELEASES AND DISCHARGES SUNFLOWER HILL AND ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, CONTRACTORS, SUCCESSORS, AFFILIATES AND ASSIGNS FROM ALL SUCH CLAIMS.


Sunflower Hill will not provide the Volunteer with insurance coverage for any injuries, conditions, or losses to the Volunteer arising out of volunteer activities.


The Volunteer must maintain his or her own primary medical insurance and automobile liability insurance to cover potential medical and other costs and liability related to the volunteer service. All costs for injury or loss above the coverage provided by the Volunteer’s insurance are the Volunteer’s personal responsibility.


Sunflower Hill will not provide workers’ compensation coverage for injuries or illnesses to the Volunteer arising out of volunteer activities. The Volunteer hereby authorizes Sunflower Hill to seek emergency medical treatment on the Volunteer’s behalf in case of injury, accident or illness to the Volunteer arising from the Volunteer’s involvement as a volunteer. The Volunteer agrees that the Volunteer will be responsible for medical costs incurred as a result of such accident, illness or injury.


The Volunteer understands that the materials, and tools and other property provided by Sunflower Hill are and remain the property of Sunflower Hill, and the Volunteer agrees to return the tools and other property and any remaining materials to Sunflower Hill upon Sunflower Hill’s request and in any event at the end of the Volunteer’s volunteer service.


The assumption of liability, waiver and release contained in this agreement are intended to be as broad and inclusive as permitted by applicable law. This agreement shall be interpreted and enforced in accordance with the laws of the State of California, excluding rules of law governing the conflict of laws. If any provision of this agreement is held to be invalid by an arbitrator or a court of competent jurisdiction, such invalidity shall not affect the remaining provisions of this agreement, which shall continue to be enforceable.


Coronavirus/Covid-19 Liability Waiver


I acknowledge the contagious nature of Coronavirus/COVID-19 and that the CDC and many public health authorities are still recommend social distancing. I further acknowledge that Sunflower Hill has put in place preventative measures to reduce the spread of Coronavirus/COVID-19. I also acknowledge that Sunflower Hill cannot guarantee that I will not become infected with Coronavirus/COVID-19. I understand the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to Sunflower Hill staff and other Sunflower patrons and their families. It is my option to choose to volunteer at Sunflower Hill and I acknowledge that I may be increasing my risk of exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending and/or participating. I attest that: I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. I have not traveled internationally within the last 14 days. I have not traveled to a highly impacted area within the U.S. in the last 14 days. I do not believe that I have been exposed to someone with a suspected and/or confirmed case of Coronavirus/COVID-19. I have not been diagnosed with Coronavirus/COVID-19 and not-yet cleared as non-contagious by state or local public health authorities. I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID -19. I will abide by all verbal and written instructions given to me by Sunflower Hill and their employees. I hereby release and agree to hold Sunflower Hill harmless from, and waive on behalf of myself, my heirs and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by an act, or failure to act of Sunflower Hill or that may otherwise arise in any way in connection with my volunteering at Sunflower Hill. I understand that this release discharges Sunflower Hill from any liability or claim that I, my heirs, or any personal representatives, may have against Sunflower Hill with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to my volunteer service. This liability waiver extends to Sunflower Hill together with all parties involved with managing and directing Sunflower Hill.