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Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.First Name *
Last Name *
Birthdate *
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Address *
Mobile Phone *
For example, 123-456-7890
Emergency Contact Name (First and Last) *
Emergency Contact Phone Number *
How did you hear about our organization?
Other:
What areas are you interested in? *
Please list any of your skills, experience, or knowledge that could benefit Nourish:
What time of day are you available to volunteer?
Would you like to receive our monthly volunteer newsletter via email? *
Nourish performs an initial and periodic background checks through BackgroundChecks.com for individuals who will be working with youth or community members through Nourish. Once your application has been processed, you will receive an email at your above provided email address outlining next steps, including instructions on how to complete your background check. Nourish will be notified once you complete your background check, and will contact you regarding your results and your standing as a Nourish affiliate.
Have you ever been charged or convicted of any felony; charged or convicted of any misdemeanor; been in jail, prison or correctional facility; or anything else to disclose to Nourish that may be related to your affiliation with Nourish or the community? *
-I understand that this is an application for and not a commitment or promise of a position with Nourish. I
certify that I have and will provide information that is true, correct, and complete to the best of my knowledge
throughout the selection process - Including on this application and in interviews with Nourish. I certify that I have
and will answer all questions to the best of my ability, and that I have not and will not withhold any information
that would unfavorably affect my application for a position. I understand that information contained on my
application will be verified by Nourish.
-I understand that in order to provide a safe and healthy environment for the youth Nourish serves, Nourish
checks references and reviews relevant public documents regarding criminal activity of any persons who are in
contact with students and community members. I authorize Nourish to process my application and to review my
background. I understand that Nourish may conduct a background check through BackgroundChecks.com.
-I hereby release Nourish, its employees, representatives, and such individuals or organization from all
liability for any damage incurred in obtaining or furnishing my background check information. I agree that I will
not initiate any legal actions (including, but not limited to libel, or slander) in response to information provided
regardless of circumstances of the information provided.
-By agreeing to this authorization, you are hereby confirming the accuracy of the information provided
above and granting Nourish permission to do said initial and periodic background checks as the organization
deems necessary. You also have an ongoing obligation to disclose any changes in criminal record as they occur.
I agree to the above information *
Disclaimer
THIS RELEASE AND WAIVER OF LIABILITY (the “Release") in favor of
Nourish Farms, Inc., a nonprofit corporation, their trustees, directors, officers, employees, and agents.
The Volunteer desires that the Volunteer work as a volunteer for Nourish and engage in the activities
related to being a volunteer. The Volunteer understands that the work may include but is not limited to:
use of gardening and farming tools, kitchen equipment, office equipment, and/or movement or lifting of
furniture and program materials.
The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the
following terms:
1. Waivers and Release. Volunteer does hereby release and forever discharge and hold harmless Nourish
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 Volunteer's work with Nourish.
Volunteer understands that this release discharges Nourish from any liability or claim that the Volunteer
or Guardian may have against Nourish with respect to any bodily injury, personal injury, illness, death,
or property damage that may result from Volunteer's work with Nourish, whether caused by the
negligence of Nourish or its officers, directors, employees, agents or otherwise. Volunteer also
understands that Nourish 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. It is the policy of Nourish that minors are required to have a waiver and release
signed by his or her legal guardian.
2. Medical Treatment. Volunteer does hereby release and forever discharge Nourish from any claim
whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service
rendered in connection with the Volunteer's work with Nourish.
3. Assumption of the Risk. The Volunteer understands that the work for Nourish may include activities
that may be hazardous to the Volunteer, including, but not limited to: use of kitchen knives, stove, or
slicers, gardening tools, office equipment, lifting of objects, use of stairs and elevator. Volunteer hereby
expressly and specifically assumes the risk of injury or harm in these activities and releases Nourish from
all liability for injury, illness, death, or property damage resulting from the activities of the Volunteer’s
work for Nourish.
4. Insurance. The Volunteer understands that, except as otherwise agreed to by Nourish in writing,
Nourish does not carry or maintain health, medical, or disability insurance coverage for any Volunteer.
5. Photographic Release. Volunteer does hereby grant and convey unto Nourish all right, title, and
interest in any and all photographic images and video or audio recordings during the Volunteer’s work
for Nourish, including, but not limited to, any royalties, proceeds, or other benefits derived from such
photographs or recordings.
THIS RELEASE AND WAIVER OF LIABILITY (the “Release") in favor of
Nourish Farms, Inc., a nonprofit corporation, their trustees, directors, officers, employees, and agents.
The Volunteer desires that the Volunteer work as a volunteer for Nourish and engage in the activities
related to being a volunteer. The Volunteer understands that the work may include but is not limited to:
use of gardening and farming tools, kitchen equipment, office equipment, and/or movement or lifting of
furniture and program materials.
The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the
following terms:
1. Waivers and Release. Volunteer does hereby release and forever discharge and hold harmless Nourish
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 Volunteer's work with Nourish.
Volunteer understands that this release discharges Nourish from any liability or claim that the Volunteer
or Guardian may have against Nourish with respect to any bodily injury, personal injury, illness, death,
or property damage that may result from Volunteer's work with Nourish, whether caused by the
negligence of Nourish or its officers, directors, employees, agents or otherwise. Volunteer also
understands that Nourish 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. It is the policy of Nourish that minors are required to have a waiver and release
signed by his or her legal guardian.
2. Medical Treatment. Volunteer does hereby release and forever discharge Nourish from any claim
whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service
rendered in connection with the Volunteer's work with Nourish.
3. Assumption of the Risk. The Volunteer understands that the work for Nourish may include activities
that may be hazardous to the Volunteer, including, but not limited to: use of kitchen knives, stove, or
slicers, gardening tools, office equipment, lifting of objects, use of stairs and elevator. Volunteer hereby
expressly and specifically assumes the risk of injury or harm in these activities and releases Nourish from
all liability for injury, illness, death, or property damage resulting from the activities of the Volunteer’s
work for Nourish.
4. Insurance. The Volunteer understands that, except as otherwise agreed to by Nourish in writing,
Nourish does not carry or maintain health, medical, or disability insurance coverage for any Volunteer.
5. Photographic Release. Volunteer does hereby grant and convey unto Nourish all right, title, and
interest in any and all photographic images and video or audio recordings during the Volunteer’s work
for Nourish, including, but not limited to, any royalties, proceeds, or other benefits derived from such
photographs or recordings.
Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.
THIS RELEASE AND WAIVER OF LIABILITY (the “Release")
of the parent having legal custody and/or the legal guardian of the
Volunteer (the “Guardian”), in favor of Nourish Farms, Inc., a nonprofit corporation, their trustees,
directors, officers, employees, and agents.
The Volunteer and Guardian desire that the Volunteer work as a volunteer for Nourish and engage in
the activities related to being a volunteer. The Volunteer and the Guardian understand that the work
may include but is not limited to: use of gardening and farming tools, kitchen equipment, office
equipment, and/or movement or lifting of furniture and program materials.
The Volunteer and Guardian do hereby freely, voluntarily, and without duress execute this Release
under the following terms:
1. Waivers and Release. Volunteer and Guardian do hereby release and forever discharge and hold
harmless Nourish 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 Volunteer's
work with Nourish. Volunteer and Guardian understand that this release discharges Nourish from any
liability or claim that the Volunteer or Guardian may have against Nourish with respect to any bodily
injury, personal injury, illness, death, or property damage that may result from Volunteer's work with
Nourish, whether caused by the negligence of Nourish or its officers, directors, employees, agents or
otherwise. Volunteer and Guardian also understand that Nourish 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. It is the policy of Nourish that minors are
required to have a waiver and release signed by his or her legal guardian.
2. Medical Treatment. Volunteer and Guardian do hereby release and forever discharge Nourish from
any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or
service rendered in connection with the Volunteer's work with Nourish.
3. Assumption of the Risk. The Volunteer and Guardian understand that the work for Nourish may
include activities that may be hazardous to the Volunteer, including, but not limited to: use of kitchen
knives, stove, or slicers, gardening tools, office equipment, lifting of objects, use of stairs and elevator.
Volunteer and Guardian hereby expressly and specifically assumes the risk of injury or harm in these
activities and release Nourish from all liability for injury, illness, death, or property damage resulting
from the activities of the Volunteer’s work for Nourish.
4. Insurance. The Volunteer and Guardian understand that, except as otherwise agreed to by Nourish in
writing, Nourish does not carry or maintain health, medical, or disability insurance coverage for any
Volunteer.
Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.
