WRAP Group Volunteer Application
Please complete this application form if your group is interested in volunteering with WRAP (Wheelchair Ramp Accessibility Program). Once you complete the form, click the Continue button at the bottom.
Group Information & Contact
Please provide information about your group and contact information for the person who will serve as your group's leader.
First name:
*
Last name:
*
Preferred Name:
Group name:
*
Home Address:
Street 2:
Street 3:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Work phone:
OK to call me here
Cell phone:
OK to call me here
Email address:
*
Position with group/company:
What kinds of email would you like to receive?
Electronic newsletters
Recruitment appeals
Preferred method of communication:
Cell Phone
Does not matter
Email
Home Phone
Text Message
What are your groups' goals in volunteering with WRAP?
Group Member information
Please provide the following information about your group. The Members field is used collect the approximate number of people in your whole group.
Members:
*
Participation:
If your group will serve more than once, you will usually send...
The same volunteers each time
Different volunteers each time
Please list volunteers who are coming to the first event with their shirt size (unisex):
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
8am - Noon:
Noon - 4pm:
4pm - 6pm:
Other:
Employee Volunteer Policy (if applicable)
Does your company have a employee volunteer policy in place? If yes, please describe what this entails (e.g. none, 4 hours of PTO, donation to nonprofits).
Secondary Group Contacts
Please provide contact information for people available to contact if the main contact cannot be reached.
1
2
First name:
First name:
Last name:
Last name:
Preferred Name:
Preferred Name:
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Street Address:
Street Address:
Street 2:
Street 2:
City:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Zip:
Primary phone:
OK to call here
Primary phone:
OK to call here
Email address:
Email address:
Permission to use photograph
I grant the Wheelchair Ramp Accessibility Program (WRAP) the right to take photographs of me in connection with volunteering with WRAP. I authorize WRAP, its assigns and transferees, to copyright, use and publish the same in print and/or electronically.
I agree that WRAP may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. I have read and understand the above:
Permission to Photograph:
By signing below:
1. The undersigned assumes all risk involved in travel and work on the project and all activities surrounding the projects.
2. I agree that at no time will any information regarding clients or WRAP operations be revealed to anyone other than those authorized to receive it.
3. I voluntarily offer my services with a clear understanding that there is no monetary compensation.
4. I understand that all working sites associated with WRAP are Tobacco-Free areas.
5. I agree to be in good health and physically fit when reporting to a WRAP volunteer location.
6. The undersigned will release and hold harmless, the Wheelchair Ramp Accessibility Program (WRAP), its officers, directors, members, sponsors, volunteers, employees, interns, and any other organization involved directly or indirectly.
7. The undersigned will never institute any action or suit of law or in equity against the Wheelchair Ramp Accessibility Program (WRAP), its officers, directors, members, sponsors, volunteers, employees, interns, and any other organization involved directly or indirectly.
8. The undersigned authorizes WRAP to photograph, record, reproduce, publish, copyright, or other wise use their name, photographs, film, videos, internet postings, sound recordings, or any other media format for promotional, advertising, and other charitable purposes, including print, digital, websites, and social media.
9. I understand that misrepresentations or omissions may be cause for my immediate rejection as an application to volunteer with WRAP.
10. I also understand that this is an application for and not a commitment or promise of volunteer opportunity.
I Agree
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