Volunteer Application and Agreement Form

Last Name: ____________________________   First Name:_________________________  Date:____________
*Name of Parent or
Guardian if under 18 years:_____________________________________________________________________
*If volunteer is under 18 years, the parent or guardian must also complete a volunteer application and agreement form.

Address: _______________________________________	Tele:______________(H);_______________(O)	

               _______________________________________	Cell:_______________  Fax:_______________

	  _______________________________________	EMAIL:________________________________

Company or Volunteer Group Name:_____________________________________________________________

Date of Birth: _____________________  Driver’s License No.________________________________________
Emergency
Contact: ____________________________________________________________________________
		(Name)			(Tele.No.; Indicate Home, Work or Cell)  		(Relationship)

Do you have any friends/family members who are employed or volunteer here? _____Yes   _____No

When are you available to volunteer (specify hours of availability)?

Monday ________ Tuesday _______   Wednesday _______ Thursday _______   Friday ________

Saturday________  Sunday  _______    Holidays only_______

Types of volunteer work you think you’d be most comfortable with:

___Security			___ Vendor Registration		___ Fundraising

___Assistants			___ Electrical				___ Stage Hands

___Social			___ Ushers				___ Technology

___Planning			___ Outreach

List Your Past Volunteer Experiences:

Organization:____________________ Duties:______________________ Mo/Yr. to Mo./Yr._________

Organization:____________________ Duties:______________________ Mo/Yr. to Mo./Yr._________

Organization:____________________ Duties:______________________ Mo/Yr. to Mo./Yr._________

Have you ever been adjudged civilly or criminally liable for abuse of an individual with disabilities? 
No___ Yes___;  

Have you been convicted of a crime?	No___	 Yes___ If yes, please describe:

BACKGROUND CHECK: IAAF requires volunteers working with individual consumers to submit to a background check.  Criminal conviction does not necessarily bar an applicant from volunteering.  The nature of the offense will be taken into consideration before a decision is made.  There is no fee on the part of the volunteer for the background check. Screening must be completed before volunteers begin working.

_____I agree to have a background check.  

HEALTH:  Enable requires that all volunteers with close consumer contact provide proof of a documented negative result on a Mantoux test completed within three years from the date of this volunteer application.

_____I agree to forward results from my most recent Mantoux test from my physician within two weeks 
	of the date on this application.  

REFERENCES: List two people, not related to you who have knowledge of your qualifications. 
							 Mailing
Name:_________________________________	 Address:__________________________________

Tele. No.:_______________________		__________________________________________

							Mailing
Name:_________________________________ 	Address:__________________________________

Tele. No.:_______________________		__________________________________________

I need the following accommodation(s) to work as a volunteer:____________________________

As a volunteer for IAAF, I agree to abide by all applicable rules and regulations of the organization. I understand that I will receive no monetary benefits in return for my volunteer service and that Enable may terminate this agreement at any time without prior notice for any reason. I hereby authorize Enable to check my references, and I understand that a criminal background check is required.

I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal.

I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined.  I agree to an interview with the on site manager and on site orientation to perform my volunteer role.

I hereby Release and Waive liability against IAAF, a non-profit corporation, its directors, officers, employees and agents, its successors and assigns, for any injuries or illness that I myself or my dependent may suffer in connection with any volunteer work for IAAF.  Further, I agree that IAAF,  is not liable for any damage to my property or my dependent’s property resulting from volunteer work for IAAF. 

Volunteer Signature:_________________________________	Date:_________________________