Career Quest Volunteer Registration
Full Name
*
First Name
Last Name
Organization Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Are you 18 years of age or older?
*
Yes
No
Please choose all shifts you are signing up to volunteer. You will receive email confirmation ahead of the event confirming these shifts. Please make sure to put placeholders on your calendars for the dates/times you select below.
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Tuesday, October 6th, 9:00 AM-11:30 AM
Tuesday, October 6th, 11:00 AM-1:30 PM
Wednesday, October 7th, 9:00 AM-11:30 AM
Wednesday, October 7th, 11:00 AM-1:30 PM
What is your preferred t-shirt size?
*
Small
Medium
Large
X-Large
2X
3X
4X
I have a Career Quest T-shirt already!
Volunteer Disclaimer: I hereby acknowledge that my participation in volunteering for Career Quest is potentially hazardous, and that I should not volunteer for this event unless I am medically and physically able to do so. With full knowledge and understanding of the foregoing, and in consideration with my acceptance of this entry, I expressly assume any and all risks associated with my voluntary participation in this event. In addition, I, for myself and for anyone who might claim on my behalf, covenant not to sue and hereby waive, release, and hold harmless and discharge the Greater Roanoke Workforce Development Board and its agencies, event workers, officials, sponsors, volunteers, and their representatives, successors, agents, employees, assignees from any claims, liabilities, debts, and causes of action, whether foreseen or unforeseen, for death, personal injury, property damage, or any other injuries which may arise from my travel to, participation in, or return from the event. Furthermore, I have no known physical or mental conditions that would impair my capability to participate fully, as intended or expected of me.
*
Check this box to confirm
Media Release: I hereby consent to and authorize the use or reproduction by the Greater Roanoke Workforce Development Board, and its representatives, any and all photographs and/or videos taken during this event for the purpose of promotion, without compensation to me. For the safety of the students, the Greater Roanoke Workforce Development Board strongly discourages the taking of pictures of participating students.
*
Check this box to consent.
Volunteer Safety Eligibility: Career Quest volunteers may interact with middle and high school students during the event. Do you have any criminal conviction, court order, registration requirement, or other legal restriction that prohibits or limits your contact with minors, or any history involving abuse, neglect, sexual misconduct, or violence against a minor that we should consider when determining your eligibility to volunteer?
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No
Yes (A member of the Career Quest team will contact you privately to discuss your eligibility. Please do not provide sensitive details on this form.)
Emergency Contact Name/Relationship
*
Emergency Contact Phone Number
*
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