Get Volunteer Statement And Registration Form Give To Center

Completing the Volunteer Statement And Registration Form is a crucial step for those wishing to participate in activities with the Appalachia Service Project. This guide provides clear, step-by-step instructions to ensure you fill out the form accurately and efficiently.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin by filling in your personal information. Enter your last name, first name, middle initial, and any nicknames. Specify your birthday using the format month/day/year.
3. Provide your complete address, including city, state, and zip code. Include your contact number and email address for communication purposes.
4. Indicate your marital status by selecting from the options provided: single, married, widowed, or divorced.
5. In the emergency medical information section, fill in your social security number (optional), the date of your last tetanus shot, and any medications you are currently taking. Be sure to list any medications you cannot take and any allergies or special health issues.
6. Complete the medical insurance information. Fill in the name of your insurance company, along with their phone number, address, and your policy number. Also, include your relationship to the policyholder.
7. Add an emergency contact. Provide their name, relationship to you, and their contact information, including day and evening phone numbers.
8. If applicable, include your physician's information, such as their name, relationship to you, address, and contact details.
9. Review the consent sections regarding medical treatment by competent medical personnel and media release. Ensure all parties involved (including parents or guardians if applicable) understand and agree to the terms.
10. Finally, print the form to obtain the necessary signatures. Ensure that the signature of the participant is recorded along with the date. For volunteers under 18, a parent or legal guardian must also sign.
11. After signing, you may need to have the document notarized. Confirm this requirement before submission.
12. Once all sections are completed and signed, save the document, and print or download a copy for your records. Ensure that you provide a copy of your insurance card with the form as specified.

Complete your Volunteer Statement And Registration Form online today to start your journey with Appalachia Service Project!