Please complete this application if you are interested in becoming a GROW Volunteer. Once completed, click the Continue button at the bottom.


Name and address

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.



Availability

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



Criminal History

Do you have charges pending or have you admitted guilt of been found guilty, including Deferred Adjudication, of committing a felony or misdemeanor? (Include offenses for which probation was granted, excluding minor traffic violations but including DWI)

If not applicable, list NA.

If your answer is "Yes," explain in the space provided, giving the dates and nature of the offense(s), the name and location of the court(s). and the disposition of the case(s).



Child Safety I

Have you ever been convicted of child abuse or crime involving actual or attempted sexual molestation of a minor?



Child Safety II

Has any formal or informal charge, claim, or complaint ever been made that you engaged in inappropriate sexual behavior with a minor?



Child Safety III

Is there any fact or circumstance about you or your background that would call into question the advisability of entrusting you with the supervision, guidance, and care of young people?



Handbook Acknowledgement and Waiver
Under penalty of perjury, I swear or affirm that the information given above is true, complete, and correct. I understand and agree that a complete background investigation may be conducted with respect to me, and that this information may be verified by contacting persons and organizations with whom I have had contact or which may have information concerning me. I hereby release and agree to hold harmless from liability any person or organization that provides such information. I also agree to release and hold harmless the organization and (name of organization), their officers, employees, agents, and volunteers from any and all liability as it relates to any investigation taken by them regarding the information contained in this application, or any action by them as a result of such investigation.

I understand that I am volunteering for the Botanical Research Institute of Texas (“BRIT”) and the City of Fort Worth Botanic Garden (“FWBG”) as part of a volunteer program in support of their complementary plant missions for education and conservation. I agree to perform all assigned tasks to the best of my ability. While volunteering, I agree to observe, and conduct myself consistent with, the goals, mission and objectives of BRIT and FWBG. I accept any inherent dangers at my own risk. I agree to comply with all rules, regulations and safety provisions that are established by BRIT and FWGB including, but not limited to, maintaining an environment free from harassment and discrimination, respecting fellow volunteers and staff members, acting in a safe manner while handling tools and equipment, and keeping private information confidential and secure.

In signing below, I assume all risk of harm or injury to myself or to others which may occur as a result of participating in an activity or event. I hereby release BRIT and its officers, employees, and agents from any liability, cost or damages resulting from my participation in this activity. I hereby release the City of Fort Worth and its officers, employees, and agents from any liability, cost or damages resulting from my participation in this activity.

It is expressly understood and agreed that I am a volunteer, and not an agent, representative or employee of BRIT and the City of Fort Worth. I understand that I am not entitled to any employment benefits from BRIT and the City of Fort Worth.

INDEMNIFICATION – AT MY SOLE COST AND EXPENSE, I AGREE TO AND DO HEREBY DEFEND, INDEMNIFY, PROTECT, AND HOLD HARMLESS THE CITY AND THE CITY’S OFFICERS, REPRESENTATIVES, AGENTS EMPLOYEES, AND SERVANTS (COLLECTIVELY, "INDEMNITEES") FOR, FROM AND AGAINST ANY AND ALL CLAIMS, LIABILITIES, DAMAGES, LOSSES, LIENS, CAUSES OF ACTION, SUITS, JUDGMENTS AND EXPENSES (INCLUDING, BUT NOT LIMITED TO, COURT COSTS, ATTORNEYS' FEES AND COSTS OF INVESTIGATION), OF ANY NATURE, KIND OR DESCRIPTION ARISING OR ALLEGED TO ARISE BY REASON OF INJURY TO OR DEATH OF ANY PERSON OR DAMAGE TO OR LOSS OF PROPERTY (1) RELATING TO MY SERVICE AS A VOLUNTEER FOR BRIT AND THE CITY OF FORT WORTH (2) BY REASON OF ANY OTHER CLAIM WHATSOEVER OF ANY PERSON OR PARTY OCCASIONED OR ALLEGED TO BE OCCASIONED IN WHOLE OR IN PART BY ANY ACT OR OMISSION ON THE PART OF MY SERVICE AS A VOLUNTEER; OR (3) BY ANY BREACH, VIOLATION OR NONPERFORMANCE OF ANY COVENANT I HAVE MADE UNDER THIS AGREEMENT.

I give my consent for BRIT and the City of Fort Worth to seek emergency treatment if needed, for any injury or illness that may affect me during my volunteer service and I agree to accept financial responsibility for the costs related to this treatment, even if it is later determined that there was no need for emergency treatment, and I agree that BRIT and the City of Fort Worth will have no liability for any expenses related to such treatment.

I grant permission to BRIT and the City of Fort Worth to take photographs or videos of me for use in print or digital media for the benefit of BRIT and/or the City of Fort Worth.