We Love Lauderdale Adopt-A-Community Project Volunteer Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Organization Name *Type of Organization *What is your organization's mission ? *What types of programs or services does your organization provide? *Name *FirstLastPosition *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Preferred Phone *Website / URL *NextWill you be on-site with the group on the day of the event? * dates your the What dates are you requesting? *What time would you like to start? *How many people do you expect in your group? *Will there be any minors in your group ? *How will your group be arriving? *Will you provide food and water for your volunteers? *NextLove Lauderdale Adopt-A-Community Project Volunteer Agreement This document explains the possible risks of volunteering and includes liability waivers, consents, and other legal agreements. By signing below, I, the volunteer group, acknowledge that entry into this agreement (“Agreement”) is in consideration of your participation as a volunteer organization and confirm my understanding and agreement to the following 1. Safety and Conduct a. I will comply with the Fort Lauderdale Community Development Corporation policies, safety rules, conduct expectations, and other directions. I understand that there is zero tolerance for bullying, harassment, threatening behavior, or violence of any kind. 2. Volunteer Not an Employee a. I understand that we are not employees of the Fort Lauderdale Community Development Corporation and will not be paid for participation as a volunteer or be eligible for participation in benefit plans. 3. Awareness and Assumption of Risk a. I acknowledge that volunteering at Fort Lauderdale Community Development properties may pose some risks. b. These risks may arise in a variety of ways, including from my: i. lifting heavy objects or other physical exertion ii. working with glass and other material iii. using hot or sharp objects or other tools iv. exposure to dust, loud noise v. interacting with or being in the presence of other volunteers, residents, and others 4. Waiver and Release of Claims a. I waive and lease the Fort Lauderdale Community Development Corporation and its directors, employees, and other volunteers from any claims and liabilities arising from my participation as a volunteer, including, without limitation, claims in respect of death, illness, or injury to my person or property. I will not sue the Fort Lauderdale Community Development Corporation based on these waived and released claims. 5. Disclosure of Medical Conditions a. I understand that I am solely responsible for knowing my physical condition and making my own decision about volunteering. 6. Medical Care Consent a. I authorize the Fort Lauderdale Community Development Corporation to provide me with first aid, emergency medical assistance, and transportation. I understand we are not obligated to provide this care. b. I understand that I am solely responsible for any costs related to my medical treatment and transport and that the Fort Lauderdale Community Development Corporation does not provide health, medical, disability, or other insurance coverage for me. 7. Assignment of Work Product a. I grant full rights to the Fort Lauderdale Community Development Corporation in any reports, brochures, website content, photos, images, videos, or other materials or works I may create in the course of volunteer activities, and any intellectual property rights in or derivatives of such materials. 8. Use by Fort Lauderdale Community Development Corporation of Name and Image a. I consent to use of my image, voice, name, and story, and of images of any works I may create as a volunteer, in digital and print promotional, fundraising, educational, and other communications. b. We may use them without obtaining my approval or paying me for such use. I waive any legal claims related to such use, including claims relating to copyright or rights of publicity or privacy. Applicable to All Volunteer Work 9. I understand this Agreement applies throughout the duration of my participation as a volunteer, consenting to a. A two-year (2) adoption period b. Two projects each year (most groups host quarterly or monthly c. Follow all program procedures and safety guidelines d. Develop an Adoption Strategy e. Lead fundraising activities associated with the overall project cost per resident. Volunteer Organization NameAuthorized Signature (Name)Signature Clear Signature PreviousSubmit