Court-Referred Volunteer Application
Please complete this court-referred volunteer application form below. This application will need to be approved BEFORE hours can be completed. Please do not just show up to complete hours.
If you are signing up a child, you will need to use a separate email because this will be their volunteer username moving forward. You can use the same phone number, but we will require that you provide their birth date so we can set them up with a unique PIN to use to log their volunteer hours.
Please note that we do ask that you do not unsubscribe from correspondence from us. If you choose to unsubscribe, you will not receive your welcome email with next steps, and you will not receive vital communications during your time as a volunteer with us. We promise we will not sell or spam any email provided.
Once you complete the form, click the Continue button at the bottom.
THANK YOU SO MUCH for wanting to be a part of our mission to end hunger and we will be in touch soon!
Preferred first name:
Best contact phone:
Date of birth:
Criminal Charge Information
Please provide a detailed explanation of your charge, the number of hours needed, and the date to complete by.
Food Bank Services
Are you currently, or have you ever been, a shopper at any Food Bank for Larimer County pantry? If so, please know that you are NOT required to volunteer in order to receive services.
Food Share client status:
Yes, in the past
Best contact phone:
Waiver & Liability
Our insurance policy requires that we have an accurate record of all volunteers. This is a form where you agree to release Food Bank for Larimer County of all liability while working with our Organization. This form is in effect for the duration of your volunteer partnership with Food Bank for Larimer County.
This Release and Waiver of Liability (the “Release”) executed on this day, the Volunteer as listed above in favor of Food Bank for Larimer County, a nonprofit corporation, their officers, directors, employees, and agents. The Volunteer desires to work as a volunteer for Food Bank for Larimer County and engage in the activities related to being a volunteer (the “Activities”). The Volunteer understands that the Activities may include working in offices, in Nourishing Network, in Fresh Food Share, and in Nutritious Kitchen, and any other affiliated organizational areas to aide in efforts that ensure that those in our community who are hungry have convenient access to free, healthy, and nutritious food.
The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:
Release and Waiver:
Volunteer does hereby release and forever discharge and hold harmless Food Bank for Larimer County and it successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with Food Bank for Larimer County. Volunteer understands that this Release discharges Food Bank for Larimer County from any liability or claim that the Volunteer may have against Food Bank for Larimer County with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer’s Activities with Food Bank for Larimer County, whether causes by the negligence of Food Bank for Larimer County or its officers, directors, employees, agents, or otherwise. Volunteer also understands that Food Bank for Larimer County does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
Volunteer does hereby release and forever discharge Food Bank for Larimer County from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with Food Bank for Larimer County.
Assumption of the Risk:
The Volunteer understands that the Activities includes work that may be hazardous to the Volunteer, including, but not limited to, operations, loading and unloading, and transportation to and from the work sites. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases Food Bank for Larimer County from all liability for injury, illness, death, or property damage resulting from the Activities.
The Volunteer understands that Food Bank for Larimer County does not carry or maintain health, medical, or disability insurance for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.
Volunteer does hereby grant and convey unto Food Bank for Larimer County all rights, title, and interest in any and all photographic images and video or audio recordings made by Food Bank for Larimer County during the Volunteer’s Activities with Food Bank for Larimer County, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. Furthermore, the Volunteer understands that he/she must notify Food Bank for Larimer County administration in writing if he/she does not wish to be a part of publicity materials or if a legal parent or guardian does not permit their minor to be a part of publicity materials.
The staff and volunteers of Food Bank for Larimer County will, to the best of their ability, ensure confidentiality and privacy in regard to confidential information which includes, but it is not limited to, information concerning the history, records, and discussions about the people served by the agency, donors, vendors, volunteers, and past or current employees. The very fact that an individual is served by Food Bank for Larimer County must be kept private or confidential; disclosure can be made only under specified conditions, which are described below, for reasons relating to law enforcement and fulfillment of our mission. This means that staff and volunteers shall not disclose any information about a person, including the fact that he/she is or is not served by our organization or demographic information about this individual to anyone outside of this organization unless authorized by the CEO or other authorized personnel. The principle of confidentiality must be maintained in all programs, departments, functions and activities.
Confidential information may not be removed from Food Bank for Larimer County premises without express authorization.
• No information requested by someone outside Food Bank for Larimer County will be given over the telephone.
• Staff and volunteers may want to clearly respond with the statement “Our confidentiality policy does not permit me to give out this information.” That includes whether or not a person is or has been served by this nonprofit.
• No information about individuals or their personnel records will be released to state, federal, or other agencies that enable the identification of any person by name, address, Social Security number or other coding procedures without prior written release by the Client, and all requests for information will be handled by the Food Bank for Larimer County Human Resources department only.
• If records are inspected by an outside agency, the individual(s) who inspect the records must be specifically authorized to do so by the CEO. The taking of notes, copying of records, or removal of records is specifically prohibited in such cases.
• Staff and volunteers will not discuss any client records with unauthorized individuals, whether on or off duty.
You are advised not to discuss confidential information outside Food Bank for Larimer County. When confidential information is discussed within the Food Bank for Larimer County, it shall be done strictly on a “need to know” basis. These guidelines are not intended to interfere with normal business communication and relationships nor are they intended to diminish an employees’ ability to discuss issues related to the employees’ terms and conditions of
employment. These guidelines are intended to alert you to your obligation to use discretion in safeguarding Food Bank for Larimer County’s internal affairs. Your obligation to maintain the confidentiality of Food Bank for Larimer County and client information remains even after you are no longer serving the Organization.
Volunteer expressly agrees that this Release in intended to be as broad and inclusive as permitted by the laws of the State of Colorado and that this Release shall be governed by and interpreted in accordance with the laws of the State of Colorado. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
Lastly, the Volunteer understands that he/she will not be paid or receive any other remuneration for services as a Volunteer with the Food Bank for Larimer County and understands that these statements apply to any volunteer time with the Food Bank for Larimer County including, without limitation, off-site events and affirms that if his/her family is currently receiving food from the Food Bank for Larimer County that his/her volunteerism at the Food Bank for Larimer Count is not required to receive benefits.
I hereby acknowledge that I have read, understand, and agree to the Food Bank for Larimer County Volunteer Waiver of Liability.
No, I do not grant permission
Yes, I grant permission
Please fill in your first & last name and the date.
Parent/Guardian Waiver & Liability
If the above-mentioned Volunteer is under 18 years of age his/her legal parent or guardian must also acknowledge that they have read, understand, and agree to the Food Bank for Larimer County Volunteer Waiver of Liability for their minor and authorize their minor to volunteer at the Food Bank for Larimer County.
As parent or legal guardian, I authorize the above minor to become a volunteer with the Food Bank for Larimer County. I have read and understand the below waiver and liability statement.
Please fill in your first & last name and the date.
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