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Home Parents Volunteer Opportunities Trip Leaders
Trip Leaders PDF Print E-mail

 Carolina College Tours is looking for dedicated people 
to help  lead our college campus tours
and work with our fundrasing projects
.

                           

                                                               Volunteer Development

        Volunteer Intake Form

 

 


Name | Last: _______________________________First: ______________________________MI: ______

 

Address|

Street: ____________________________ City: ______________________ State: _____ Zip: __________

 

Main Contact Number  | (____) _____-________


Other Contact Number | (____) _____-________

 

Volunteer E-mail | ______________________@_______________._______

 

Volunteer Placement Organization | Carolina College Tours

 

Emergency Contact Name | __________________ Emergency Contact Number | _________________

 

Primary Physician | _________________________ Phone | (____) _____-_______­­­­­­­­­_ Ext | ___________

 

HAVE YOU EVER BEEN CONVICTED OF A CRIME?   ___ No ___ Yes

 

If yes, explain the nature of offense(s), number of conviction(s), events that lead to conviction(s), how recently offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.

Please submit answer on an attached sheet of paper.

 

To insure the safety of each student, all volunteers shall submit a criminal background check. Volunteers must pay for his/her own background check. Upon completion of the background check and approval by Carolina College Tours, then he/she will be fully reimbursed of costs incurred as a result of completing the required background check.  All information provided is secure and confidential. 

Placement |

 

1.       I am willing to assist with the following tasks:
____ Receptionist                           

____ Data entry/light clerical work

____ Writing articles for newsletters and or proofreading publications

____ Preparing or serving food

____ Correspondence calls to volunteers, clients or donors

____ Facility maintenance workdays (painting, carpentry, etc.)

____ Conducting research for development staff

____ Organizing small parties and special events

____ Hand addressing envelopes to benefit events

____ Assisting with campus tours

____ Other (describe)________________________________________________________________

 

 

2.       Special skills to contribute:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

3.       Availability: Please provide specific times. Ex.10A-5P

 

Day Part

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Morning

 

 

 

 

 

 

 

Afternoon

 

 

 

 

 

 

 

Evening

 

 

 

 

 

 

 

 

 

4.       What do you want to gain from your volunteer experience?

___ Increase my skills in ______________________________________________________________

___ Meeting new people or professional networking

___ Social events

___ A sense of giving back—contributing to a good cause

___ Interest in/education on the mission of the organization

___ Association with people I admire

___ Other__________________________________________________________________________

 

 

I, __________________________ (print), do hereby acknowledge and assume responsibility for any risks garnered by participation in any and all activities on behalf of Carolina College Tours. I acknowledge that I will release Carolina College Tours and its officers, staff members, volunteers, advisors, property owners and/or agents in any location where activities for Carolina College Tours are conducted, of and from all claims which may hereafter develop or accrue to the effect of injury, personal loss or damage, which may be suffered by myself or any said minor(s) named below, or to any property, because of any matter, thing, or condition, negligence or default whatsoever; in addition, I accept the full risk and danger of any hurt, injury or damage which may occur through or by reason of any matter, thing or condition, negligence or default, or any person or persons whatsoever.

 

Furthermore, I shall maintain in full force and effect, a policy of insurance covering medical treatment and all related costs in the event of an injury to myself and/or any minor(s) named below as a result of an injury in any and all activities for Carolina College Tours as aforesaid. I agree that if I do not maintain in full force and affect a policy of insurance, I am still liable for medical treatment and all related costs in the event of an injury to myself or any aforementioned minor(s) as a result of participation in any and all activities involving the Carolina College Tours, as aforementioned.

 

The person executing this release acknowledges that there is a valid consideration to executing this release. The invalidity of any statement or waiver of rights above under local, state, or federal law does not invalidate any other statement or waiver of rights above.

 

I Agree_________ I Decline_________

 

 

 

 

 

 

Signature of Volunteer (Adult)

______________________________________________________________Date___________________

 

 

Signature of Volunteer (Minor)

 

______________________________________________________________Date___________________


Signature Parent or Guardian

 

______________________________________________________________Date___________________

 

 

 

Please mail this form to:

Carolina College Tours

P.O. Box 1206

Conover, NC 28613