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Under 18
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Service Opportunity Categories:
Animals
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Elders
Food Bank/Pantry
Pen Pal Program
Transportation
Children/Schools
Disabled/Vulnerable
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Other:
By checking this box you are agreeing to:

I understand that the information provided on this form may be disclosed for the purposes of volunteerism only and that my information regarding my volunteerism activities/hours/etc. can be shared between stations I serve and Volunteer Connections. I understand that if I use my personal automobile to and from my volunteer work station, I will arrange to keep in effect automobile liability insurance equal to or greater than the minimum required by the state. I agree to keep all information about clients, volunteers or other individuals obtained while volunteering confidential. I understand that I am not an employee of Volunteer Connections, the Human Services Council, nr any agency where I may volunteer. I am under no obligation to accept or continue any assignment unless I choose to do so. I understand that I may be terminated from volunteer assignments, and that I may pursue an appeal process as outlined in the Volunteer Connections Volunteer Handbook. I understand that some volunteer positions may require additional driving history checks and/or background check information. I grant the Human Services Council permission to use my likeness in photograph(s)/video in any and all of its publications or on Internet, whether now known or hereafter existing. I will make no monetary or other claim against Human Services Council for the use of the photograph(s)/video. I affirm that the information I have provided is accurate and that I have read and agree to the statements above.

AGREEMENT: By entering my name below, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Our Mission is to connect the wisdom, experience, and talents of volunteers with opportunities to enrich the quality of life for themselves and their communities.