Become a Volunteer Become a Volunteer Which Grandville Avenue Arts & Humanities facility are you interested in volunteering at? Cook Arts Center Cook Library Center Other First Name* Last Name* Please select which gender information is used for your background check. (This selection is taken from the state form for background check purposes.)* Male Female What are your pronouns? He/Him/His She/Her/Hers They/Them/Theirs Please list any other names, nicknames, or maiden names you use/have used to identify yourself. (This is mandatory for a background check. If no other names, please write "none".)* Date of Birth* MM slash DD slash YYYY Race/Ethnicity (This selection is taken from the state form for background check purposes.)* American Indian or Alaska Native Asian or Pacific Islander Black / African American White / Caucasian Hispanic/Latino Unknown/Other PhoneDoes your phone receive texts? Yes No Address* Street Address City ZIP Code Email Are you....* a high school student a college student a professional Name of School and Year/Grade (if applicable) Do you have any previous volunteer or work experience? If any physical or mental impairment or medical condition exists, what accommodations are needed to ensure a successful volunteer experience? Please List any allergies or drug reactions that we should know about: Emergency Contact Name* Emergency Contact Relationship* Home PhoneCell PhoneHow many hours a week are you willing to spend as a GAAH volunteer? How many hours a month are you willing to spend as a GAAH volunteer? Availability: Please Check when you would be available to volunteer. Morning 9am-12pm Afternoon 12pm-4pm Evening 4pm-9pm Describe briefly why you're interested in volunteering with us:Please List any special skills you have (arts, coding, languages, etc): Do you participate in any extracurricular activities? Select All Art Chorus Religious Association Drama Media Musical Instrument Photography Traditional Culture Indoor Sports Outdoor Sports International Study Topic-specific Clubs Volunteering I do not Do you speak spanish Yes No Somewhat What subjects are you comfortable tutoring? Select All K-5 History English Essay Writing Physics Chemistry Biology Algebra Geometry Calculus Statistics Resumes By checking the following boxes you are consenting to:* PERMISSION TO PARTICIPATE: I forever release Grandville Avenue Arts & Humanities (GAAH) and its agents, employees and representative from any liability for any damages, injuries, or losses to any property or possession, resulting from or connected to my participation in the program, or otherwise incurred or arising while myself or my property is offsite or on the premises of the Cook Arts Center or the Cook Library Center or being transported between the two facilities; MEDICAL CONSENT: In case of medical or other emergency, I authorize the agents, employees and representatives of GAAH to act on my behalf, including providing or obtaining medical attention or treatment; I understand that my emergency contact person will be contacted at the number provided and only emergency care will be provided is they are unable to be reached. I shall be liable and agree to pay all cost and expenses incurred with such medical services; PHOTOGRAPH: I grant GAAH permission to photograph or videotape myself and the right to use, publish, reproduce and disseminate any photograph, film, videotape, recording or other likeness of myself obtained in connection with activities or programs of GAAH without payment or compensation to myself; TRANSPORTATION: I fully understand that program staff may transport me for activities or programs and hereby hold harmless GAAH against any liability, loss or expenses incurred or suffered in consequence of any action or actions, suit or suits, in or equity, which may be brought by any person or persons in connection with, on with reference to, the administration, planning, preparation, development, conduct and execution of the activities or programs of GAAH Do you authorize a limited criminal history check to be made by the State of Michigan?* Yes No Signature (Please input your name below)* PhoneThis field is for validation purposes and should be left unchanged.
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