Volunteer Registration

First Name:

Last Name:

Email:

Cell Phone (digits only):

Password:

Confirm Password:

Date of Birth:

Do you have any medical conditions we should know about?

Are you a student?

If yes, where do you attend?

Who is your emergency contact?

Emergency contact phone number:

Have you ever been convicted of a felony or misdemeanor?

Do you attend church?

If yes, where do you attend church?

I will hold all information regarding AIM clients with utmost confidentiality.

I hereby authorize and give full consent to AIM to publish all photographs/videos of myself for the purposes of promoting AIM. I further agree that AIM may use the photographs/video without limitation or reservation.

I agree to notify AIM staff within 24 hours of any accident that occurs during my volunteer service.

I agree to comply with all health and safety guidelines. If I do not feel well or have exhibited any flu like or covid-19 related symptoms in the past 24 hours, I will not come in to volunteer at AIM until approval has been granted by the volunteer coordinator.

I understand that, if required, I will wear personal protective equipment (mask, gloves, etc.) while volunteering at AIM.

I understand that if a circumstance arises where I am asked not to return, I will respect the wishes of AIM's leadership team. AIM has the right to limit or remove volunteers to protect their clients, volunteers, staff and atmospere.

I indemnify and hold harmless AIM, its employees and agents from any and all liability in connection with any injury, illness, or damage I may incur in these activities. I assume responsibility for my own health and safety.

(Drivers): I certify that I carry at least the minimum automobile liability insurance required by law.