Volunteer Application ⋆ Good News Project

BE THE GOOD

Today's Date *

Legal Name *

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Goes By Name *

Date of Birth *

Prefered Pronoun

Address *

Enter Street Address

City/State *

First

Middle

Last

Cell Phone

Other Phone

Email *

What is your preferred method of communication? *

Text
Phone Call
Email

Emergency Contact *

First

Middle

Last

Are you vaccinated for Covid-19?

YES
NO
YES & BOOSTERED

Do you have any allergies?

If yes for allergies, please list them.

Education/Work Experience *

Please describe any volunteer, internship, passion, or work experience you have had that might relate to your interest in volunteering/interning at Good News Project. *

Do you have proficiency in an area that may benefit others? Think about how you spend time currently at work, home or with hobbies? Do you have skills that you would like to describe in more detail? *

Are you a veteran?

Is there a veteran in your household?

Are you presently attending school? *

Will you receive academic credit for your volunteer/intern work? *

Do you need your community service hours reported? *

Are you a member of United Way RSVP program? (If yes, we can submit hours for you) *

Are there any tasks or work that you would NOT be able to perform as a volunteer/intern at Good News Project? *

How do you learn best?

Read Written Instruction
Watch Videos
Hands On Application

If you answered "Yes" to the question above, please specify

Have you ever been convicted of a felony? *

If you answered "Yes" to the question above, please specify

How did you learn about the volunteer/intern program at Good News Project?

Best Time of Day

Mornings
Afternoons
Evenings (Occasional)

How often would you like to volunteer with Good News Project?

Daily
Weekly
Special Events
Whenever Needed/Drop In

How many hours per week would you like to volunteer with Good News Project?

Health Equipment Lending Program (HELP) – Check any areas that interest you

Clerical/Filing
Maintenance
Customer Service
Sanitation

Electronic Recycling – Check any areas that interest you

Friday E-cycling Intake
Special Events (Weekends)
Sorting (Week Time)
Special Projects

Office Assistance – Check any areas that interest you

Mailings
Reception
Data Entry
Writing/Social Media

Warehouse – Check any areas that interest you

Maintenance
Shipping
Sorting
Cleaning

Service Projects in the West Indies – Check any areas that interest you

House Building
Painting
School Visits
Health/Elderly Visits

Audio/Photo/Video Media Release Form – I grant permission to Good News Project and its employees to use photographds and/or video and audio taken of me. These images may be used in educational and documentary materials such as Public Service Announcements, Grant Applications, Video Documentaries and both printed and online newsletters. Furthermore, I authorize the use of my image, likeness, and voice for all program promotion, materials, and any other purposes in connection wit the program deemed appropririate and necessary by Good News Project. I hereby agree to release, defend, and hold harmless Good News Project and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on Web sites, from any claim, damages, or liability arising from or related to the use of the photographs/video, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction, or production of the finished product, its publication, or distribution. By printing my name below, I agree to the above. *

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Good News Project (GNP) values and welcomes the service and time of all people and generations. Minors, defined as youth under the age of 18, volunteer their time at Good News Project. Therefore, child abuse in any form is a primary concern for GNP. In order to help prevent child abuse within GNP programs, it is critical that all staff and volunteers understand the information provided, be on the lookout for suspicious behavior, and abide by our Age & Involvement policy and code of conduct. 1. In order to protect GNP staff, volunteers, and minors at no time during a program may a volunteer or staff member be alone with a single child where they cannot be observed by others. As volunteers supervise children, they should space themselves in a way that staff can see them. 2. Staff & Volunteers shall never leave a minor unsupervised. 3. Staff & Volunteers should not release children to anyone other than the authorized parent, guardian, or other adult authorized by the parent/guardian, unless the child is 16+ and transports themselves to and from GNP in order to volunteer. If child leaves the premises without permission, parent/guardian will be contacted immediately. 4. Staff & Volunteers must use positive techniques of guidance, including redirection, positive reinforcement and encouragement rather than competition, comparison and criticism. Volunteers will have age appropriate expectations and set up guideline and environments that minimize the need for discipline. 5. Staff & Volunteers must respond to children with respect and treat all children equally regardless of sex, race, religion, disability, and/or culture. Volunteers must portray a positive role model for youth by maintaining an attitude of respect, loyalty, patience, courtesy, tact, and maturity. 6. Staff & Volunteers shall not engage in electronic communication with Youth, except as may be reasonably necessary to coordinate scheduling, location, or other matters as they pertain solely to GNP. 7. Our organization cooperates fully with the authorities to investigate all cases of alleged abuse. It is a legal and ethical duty to report suspected abuse or suspicious behavior. Volunteer and Staff members will cooperate fully with an investigation. Contact your supervisor, or the GNP board president in any situation of suspected abuse. I agree to abide by the Child Abuse Code of Conduct: *

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I, the undersigned volunteer [“Volunteer”] of Good News Project agree and understand that the purpose of Good News Project is to respond to needs of both the local community and our global communities. Good News Project provides services to people no matter your religion, creed, age, background, or gender. All are welcome. I agree and understand that the customers served by Good News Project have many diverse needs and conditions, which may include mental, emotional, physical, and social maladjustments. I hereby release Good News Project and its director, staff, and agents from any and all claims, responsibility, liability, or causes of action, for any injury, loss, or damage that I may incur in connection with my volunteer activities at Good News Project. I further understand that, as a volunteer of Good News Project, any and all information pertaining to HELP Closet and E-cycling customers is strictly confidential. Due to the privacy and protection of our guests, I understand that photography and/or videography is not allowed unless instructed by staff and consented by the customers. I agree to hold in confidence any information about clients and donors, which comes to my knowledge during my association with Good News Project. I understand and acknowledge that either party may terminate this volunteer relationship at any time and that submitting this application does not imply a guarantee to volunteer. Upon acceptance as volunteers, I agree to serve under the leadership, guidance, and procedures of Good News Project for the duration of my volunteer service. (copy) *

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INDEMNITY AGREEMENT, ASSUMPTION OF RISKS, AND WAIVER OF RIGHTS In consideration of being permitted to participate with Good News Project, Inc., as a volunteer serving the poor in the countries of St. Lucia, St. Vincent and Dominica and the U.S.A., I, the undersigned, hereby acknowledge and agree as follows: 1. PARTICIPATION IN THIS PROJECT MAY BE DANGEROUS. PLEASE READ THIS SECTION CAREFULLY. I hereby acknowledge that volunteer services for Good News Project, Inc. often involves travel to and activities in underdeveloped countries, where travel, living conditions, and working conditions are likely to be very hazardous and where access to health care may be poor or non-existent (e.g., available medical facilities, if any, are not equal to those in the United States, may not provide intensive or surgical care, and may not be staffed by medical specialists in many fields). I understand that the nature of some of the work includes but is not limited to construction work and that because of the location and nature of this work THERE ARE SIGNIFICANT RISKS TO MY PERSONAL HEALTH AND SAFETY, INCLUDING SIGNIFICANT RISKS THAT I COULD BE SERIOUSLY INJURED OR DIE. I recognize that risks of personal injury, illness, disease, or death from participation in this project include, but are not limited to, dehydrations, sprains, torn muscles and/or ligaments, fractured, broken or dislocated bones, eye damage, cuts, wounds, scrapes, abrasions, spinal injuries, shock, paralysis, heart attack, or death. I acknowledge that such injuries or conditions may occur in remote places where there are no immediately available or adequate medical facilities or trained personnel. I acknowledge that the risks include, but are not limited to, travel to and from the above-referenced underdeveloped countries, cross-country travel across rugged underdeveloped terrains and roadways which may contain steep grades, sharp turns, unstable road surfaces or hazardous objects, dangerous traffic or poorly trained drivers; risks of sickness, disease, or death from insect or animal bites, unfamiliar foods and water or unsanitary living or eating conditions; unpredictable and severe weather conditions, including extreme heat, exposure to the sun, and storms; risks of diseases including but not limited to dysentery; risks of falling, including falling from or onto construction materials or buildings, or other injuries which may occur during the construction process; and risks of equipment breakage or failure or operator error. I acknowledge that any volunteer work conducted in or around the Good News Project warehouse at 1106 5th Street, Wausau, WI may be potentially dangerous. Tasks performed that are potentially dangerous include but are not limited to lifting, carrying, packing, or using a pallet jack or hand trolley. Other risks include slipping and falling, tripping, forklift injuries, heavy items falling from shelving or double stacked pallets. Handling broken or old electronics also may expose me to hazardous materials. I acknowledge that this list of potential injuries and hazards is not exhaustive and that there may be other risks of injury, illness, disease, or death as a result of participating in this project. I acknowledge that my personal property may be damaged or lost. I realize that my personal skills, experience, fitness, and overall health condition are important factors for me to consider in assessing my willingness to participate in light of this waiver of the right to sue for injuries or death which might occur. WITH FULL KNOWLEDGE OF THESE RISKS AND DANGERS, AND ACCEPTING THAT BY SIGNING THIS FORM I AM WAIVING MY RIGHTS TO SUE OR RECOVER FOR ANY INJURIES, ILLNESS, DISEASE, OR DEATH, WHICH MAY OCCUR WHILE I AM A PARTICIPANT IN THIS PROJECT, BY SIGNING THIS FORM I AM ADVISING THAT I STILL DESIRE TO PARTICIPATE IN THE GOOD NEWS PROJECT INC.'S VOLUNTEER WORK AND I AM, HEREBY, CERTIFYING TO GOOD NEWS PROJECT, INC. THAT I AM FULLY CAPABLE OF PARTICIPATING IN THESE ACTIVITIES. 2. I HEREBY WAIVE, RELEASE FROM LIABILITY, AND COVENANT NOT TO SUE Good News Project, Inc., their respective employees, founders, agents, directors, personal representatives, heirs successors, or assigns (hereinafter referred to collectively as the "Sponsors"), or any other participant, with respect to any and all liability to me for any and all claims of any kind or character, losses, damages, actions, causes of action, or expenses whatsoever which arise out of, in connection with, result from, or relate in any manner to my participation in any volunteer work with or for Good News Project, Inc., or the negligent acts or omissions of the Sponsors or other participant in connection therewith including, but not limited to, any and all such claims for known or unknown, foreseen or unforeseen, BODILY INJURIES, PERSONAL INJURIES, DEATH, PROPERTY LOSS, PROPERTY DAMAGE, and all other types of loss of damage, whether occurring prior to, during, or after my participation. 3. I HEREBY AGREE TO INDEMNIFY, SAVE, AND HOLD HARMLESS THE SPONSORS from and against any losses, liabilities, damages, or costs which the Sponsors may incur due to the presence of me at, or participation by me in, the volunteer work for Good News Project, Inc. which are caused, directly or indirectly, by me. 4. IN ADDITION AND NOT IN LIMITATION OF THE OTHER PROVISIONS OF THIS INDEMNITY AGREEMENT, ASSUMPTION OF RISKS, AND WAIVER OF RIGHTS, I HEREBY ACKNOWLEDGE AND AGREE THAT: (a) My expense for health care while I am a volunteer are my own responsibility; (b) My own health insurance may not be effective in the West Indies; (c) I may have been given information about an insurance plan that purports to provide coverage for illnesses or injuries which I may suffer during my trip and which may also pay for transportation to a suitable medical facility in case of my suffering a serious injury or illness; (d) I may have been reminded of recommendations from the U.S. Center for Disease Control (CDC) for travel to the West Indies; (e) I will make every effort to ensure my own safety and the safety of my co-volunteers during our trip; (f) I realize that it is my sole responsibility to inform Good News Project, Inc. of any allergies or significant medical conditions I have and of all medications I am taking; (g) The physicians and nurses traveling as part of our group, if any, are also volunteers and I cannot expect them to accept any responsibility for my medical care; and (h) I understand that I may have been enrolled as an insured under a basic travel insurance policy that may cover up to $500.00 of my non-refundable expenses for my trip and, if I so choose, I may be able to upgrade such policy at my sole expense. 5. I HEREBY ACKNOWLEDGE THAT I UNDERSTAND, HAVE READ, AND HAVE VOLUNTARILY SIGNED THE FOREGOING INDEMNITY AGREEMENT, ASSUMPTION OF RISKS, AND WAIVER OF RIGHTS and I expressly agree that this agreement is intended to be effective and binding upon myself, my heirs, assigns, personal representative, and estate, and for all members of my family, and that if any portion of this agreement is held invalid, the balance shall, notwithstanding, continue in full legal force and effect. I hereby further agree that I assume full responsibility for risks of bodily injury, personal injury, death, property damage, and all other types of loss and damage described herein and state that I understand that the Sponsors have relied upon this Indemnity Agreement, Assumption of Risks, and Waiver of Rights in giving me permission to participate in the volunteer work of Good News Project, Inc. I UNDERSTAND THAT SINCE THE INCEPTION OF THE ORGANIZATION ONLY A HANDFUL OF INJURIES HAVE OCCURRED TO VOLUNTEERS including two volunteers who suffered fractures, two who returned to the US early because of illness, and one who had to be medically evacuated for treatment of a severe infection (not connected with the work she was doing with Good News. *

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If applicant is under the age of 18, a parent or guardian must sign here to acknowledge all sections of this application. *

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