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Dig Out Your Neighbor Volunteer Application
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Steps
1.
Volunteer Information
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2.
Additional Contacts
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3.
Availability and Interest
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4.
Special Skills or Qualifications
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5.
Volunteer Agreement
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Volunteer Information
First Name
*
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Home Phone
*
Cell Phone
Work Phone
Email Address
Best Way to Reach You
*
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Email
Home Phone
Cell Phone
Occupation
Date of Birth
Date of Birth
You must be 16 or older to volunteer without a parent/guardian.
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Additional Contacts
Emergency Contact Information
First Name
*
Last Name
*
Phone Number
*
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Availability and Interest
How did you hear about Volunteer Connections?
Please sign me up to receive a once-a-month Volunteer Email!
This is the best way to stay up-to-date on new volunteer opportunities, upcoming special events, and volunteer successes.
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No
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Special Skills or Qualifications
Travel Preferences
*
I can walk up to 1 mile
I can walk up to 2 miles
I can drive up to 5 miles
I can drive up to 10 miles
Please indicate which of the following you are willing to commit to in 3+ inches of snow in order to shovel out your neighbor. You can select more than one option.
Is there any other information that you feel would be helpful for us to know?
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Volunteer Agreement
Arapahoe County Policies
It is the policy of Arapahoe County to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Arapahoe County will not provide or pay for medical treatment for physical injuries to volunteers, which occur within the scope and course of their volunteer activities. Further, because volunteers do not work for the County as employees, they are not covered under the County’s Worker’s Compensation insurance. The County therefore, cannot provide lost wages or permanent disability benefits for the volunteer’s regular employment. Arapahoe County employees may volunteer to serve in Volunteer Connections as long as their activities do not directly relate to their County job, except as specifically provided by County Resolution.
General Release
In exchange for the opportunity to participate in Arapahoe County’s Volunteer Connections program, I do hereby and forever release and discharge Arapahoe County and any sponsoring partners of Volunteer Connections, and each of their affiliates and respective board members, officers, employees, agents and volunteers from any and all claims, actions, expenses, liabilities, or damages of any nature whatsoever, including costs and attorney’s fees, arising out of any personal injury, or any loss or damage to property, in any way resulting from or otherwise relating to the undersigned participation as a volunteer in the Volunteer Connections program. I further agree that Arapahoe County and Volunteer Connections may photograph, televise, and videotape me in conjunction with activities associated with Arapahoe County government and Volunteer Connections for program image advertising in a non-commercial use, including but not limited to promotion, the broadcast and/or news coverage of Volunteer Connections activities. By checking this box, I do hereby acknowledge having read the General Release, and agree to abide by all policies, rules and guidelines set forth by Arapahoe County and Volunteer Connections. Further, I am aware of and understand the nature of the volunteer positions and their requirements and conditions.
Signature
*
Yes, I agree to the terms and policies.
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