Please complete this application form if you are interested in becoming a New Love Center Volunteer or if you are interested in serving in a new role with The New Love Center. 


Name and Address


Emergency Contact Info


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Serving Opportunities

Please indicate the areas that you are interested in serving in.



Availability

Please indicate the days and times you are usually available to volunteer.



Messaging Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, and reminders through text, however, will not send you any email or text you prefer not to receive. Use the checkboxes below to select your messaging preferences.



Comment Section


Volunteer Release, Liability, and Confidentiality

Volunteer Release and Waiver of Liability Form

The Volunteer desires to provide volunteer services for The New Love Center and engage in activities related to serving as a volunteer. Volunteer understands that the scope of Volunteer’s relationship with Nonprofit is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that Nonprofit will not provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s services to The New Love Center.

 1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless The New Love Center and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide. I understand and acknowledge that this Release discharges The New Love Center from any liability or claim that I may have against Nonprofit with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Nonprofit or occurring while I am providing volunteer services. 

2. Insurance: Further I understand that The New Love Center does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of The New Love Center beyond what may be offered freely, in the event of injury or medical expenses incurred by me. 

3. Medical Treatment: I hereby Release and forever discharge The New Love Center from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Nonprofit.

 4. Photographic Release: I grant and convey to The New Love Center all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by The New Love Center in connection with my providing volunteer services. 

5. Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Pennsylvania and that this Release shall be governed by and interpreted in accordance with the laws of the State of Pennsylvania. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. 


Volunteer Confidentiality Agreement

As a volunteer of The New Love Center, I understand that I may have access to confidential information, both verbal and written, relating to donors, volunteers, staff, and clients.

I understand and agree that all such information, in whatever form, produced, prepared, observed or received by the volunteer is to be treated confidentially and discussed only within the boundaries of my volunteer position at this organization. Care shall also be taken to ensure that unauthorized individuals do not overhear any discussion of confidential information and that documents containing confidential information are not left in the open or inadvertently shared.

 I also agree not to discuss these same matters after I have left my volunteer position at this organization. I further understand that breach of this agreement shall constitute grounds for and may result in termination of my volunteer status. 


I acknowledge that I have read the above information and by checking the box I am agreeing to these terms.