Volunteer

Please provide two references. They can be personal or professional.

I understand that as a volunteer with YWCA Mohawk Valley, the nature of volunteer activities may involve physical activity, contact with unfamiliar people, and all other potential risks of injury. Knowing this, I hereby assume the risk for any accident or injury to person or property which I may sustain in conjunction with my participation in the volunteer position. In addition, I hereby release and discharge YWCA Mohawk Valley and any of its directors, officers, employees, affiliates, or successors from any and all liabilities and responsibility for such action or injury. To the best of my knowledge, all statements set forth in this application are true. I authorize YWCA Mohawk Valley or its agents to undertake any investigation it deems appropriate in connection with this application. This includes but is not limited to contacting all listed references, completing state and/or national background checks, and a driver record check through the New York State Department of Motor Vehicles. I understand that misrepresentation or material omission from this application may result in my disqualification for a position with YWCA Mohawk Valley and may be the basis for termination of my services and/or further legal action to the extent allowable by law.

I agree that my picture, name, and/or representation may be used for promotional media including participant and volunteer recruitment efforts, program and agency promotion, and any other agency-related purpose.