Please complete this application form if you are interested in becoming a St. Vincent de Paul volunteer. Once you complete the form, 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


Other Information

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Release Agreement

Acknowledgment of Risk and Release and Waiver of Liability

I desire to work as a volunteer for the Society of St. Vincent de Paul (“the Society”) and engage in the activities related to being a volunteer. I understand that the scope of my relationship with the Society of St. Vincent de Paul (“the Society”) is limited to a volunteer position and that no compensation is expected in return for the services I will provide to the Society; the Society will not provide any benefits traditionally associated with employment to me; and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my volunteer services.

I recognize and acknowledge that there are inherent risks as a volunteer for St. Vincent de Paul. I do hereby release and forever discharge and hold harmless the Society and its 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 the services I provide to the Society or occurring while I am providing volunteer services. I hereby release and forever discharge any liability or claim that I may have against the Society with respect to any bodily injury, personal injury, death or property damage that may result from my work for the Society whether caused by the negligence of Society, it’s officers, directors, employees, agents or otherwise. I also understand that the Society 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 related to my work as a volunteer for the Society. I expressly and specifically assume the risk of injury or harm associated with all volunteer and other activities I may engage for the Society and release the Society from all liability for injury, illness, death, or property damage resulting from the activities of my volunteer work for the Society.

I hereby further release and forever discharge the Society 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 the Society.

Non-Discrimination Policy

I am aware that the Society is an open, non-discriminatory environment and respects, welcomes, and tolerates (and asks its volunteers to as well) friends and staff from all creeds, religions, and ethnicities. The Society is an equal opportunity volunteer organization and will not discriminate with regard to age, ancestry, disability, national or ethnic origin, race, religious belief, sex, sexual orientation, gender identity, marital status, political belief, or veteran status.

Confidentiality Agreement

I acknowledge that, during the course of my participation with St. Vincent de Paul, I may come into the possession of certain confidential information belonging to St. Vincent de Paul. I hereby agree that I will at no time, during or after the term of participation, use for my or other’s benefit, disclose, or divulge to others any such confidential information. In addition, information about staff, volunteers, clients and friends is confidential and I agree not to disclose or share it without expressed consent of the client, friend, volunteer, or staff person.

Media Release

I hereby grant St. Vincent de Paul permission to use my likeness in a photograph or video in any and all publications, including web, without payment or any other consideration. I hereby grant and convey unto the Society all right, title and interest in any and all photographic images and video or audio recordings made by the Society while providing services for the Society, including, but not limited to any royalties, proceeds or other benefits derived from such photographs or recordings.

I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent to participate in all volunteer activities for the Society. I have read and understand all of the terms set forth above, any and all questions of mine have been answered, and I voluntarily agree to the above provisions.