Volunteer

Your Name

Street Address (include city/state/zip)

Phone Number

Email Address

Preferred Contact Method

Email Phone Either is fine

Date of Birth

Emergency Contact Info (include name/relationship to volunteer/phone number)

When you are available for volunteer assignments?

Mornings M/Tu/W/Th/F - 8:30am to 12pm Afternoons M/Tu/W/Th - 1:00pm to 4:00pm Afternoons F - 1:00pm to 3:00pm

Which volunteer areas are of interest to you?

Previous Employment and/or Volunteer Experience

Acceptance

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal.

Volunteer Policies

Please read our Volunteer Policies before completing this form.

Policy Acceptance

By signing this form, you are acknowledging that you have read and understand the Volunteer Policy information.

Release from Liability

Without limiting the generality of the following, I hereby waive and release all rights, actions, or causes of action against Northwest Compass, Inc., 1300 W. Northwest Highway, Mt. Prospect, IL 60056 (“Northwest Compass”) resulting from personal injury or death to me, or damage to my property, sustained in connection with my participation in any volunteer project sponsored or associated with Northwest Compass. I, my assignees, heirs, guardians, and legal representatives, will not make any claim against Northwest Compass, or any of its affiliated organizations, officers or directors, collectively or individual. Further, I consent to the unrestricted use by Northwest Compass, and/or person(s) authorized by them, of any photographs of me when performing volunteer services for Northwest Compass.

Please write your name and date below to accept the Release from Liability

NOTE: IF VOLUNTEER IS UNDER 18 YEARS OF AGE, PARENT OR GUARDIAN MUST SIGN BELOW:

Parent/Guardian Name

Parent/Guardian Relationship to Volunteer

Join Our Volunteer Community

Creating stability that’s felt by all, right here in our community.