IIMF Volunteer Application2023-2024

Address

Contact Number (xxx-xxx-xxxx)

I currently have the following IIMF Shirt (select all that apply)

Purple, Black and White IIMF Polo (short sleeve)Purple, Black and White IIMF Polo (long sleeve)No IIMF ShirtBlack IIMF Polo (short sleeve)Purple IIMF Polo (short sleeve)White IIMF Polo (short sleeve)Purple IIMF Polo (long sleeve)Black IIMF Polo (long sleeve)White IIMF Polo (long sleeve)

Highest level of education. Please check one.

Have you attended an IIMF Volunteer Training this program year (July 2023- July 2024)

YesNo

Previous Volunteer Experience

First Aid Certificate

YesNo

Emergency Contact Name

Cell Number (xxx-xxx-xxxx)

Do you have any allergies to any food, medicines or any substance? Yes or No. If yes, please list

Do you have any food restrictions? If yes, please list

Do you have any health conditions that may limit your participation? If yes, please explain.

I assume full responsibility for my actions and authorize IIMF designee (IIMF President or Vice President) to act on my behalf in the event of an emergency situation. I hereby release IIMF, its officers, members, agents and volunteers from any liability or claims arising out of or in any way connected with my volunteer activities.

YesNo

During the course of the IIMF programming, there will be occasions when you may be photographed and/or videotaped by staff, sponsors, corporate representatives, media and others. We request permission for your participation. By signing and dating below, you are providing IIMF with permission to use photographs or videotape yourself, alone or in groups, in newspaper articles, newsletters, web-site, online, brochures, special fundraising activities, scrapbook, videos and photo albums for use in public understanding and support of the IIMF program. By granting permission below, you hereby release and hold harmless Investing In My Future, Inc. from any claims, judgments or demands which may arise from the use of the above referenced photographs and/or videotapes.

YesNo

Covid Disclaimer - "Signature: I, the undersigned, having read, understood, and completed the above, and having been briefed regarding the nature of the program, hereby give my permission for my child to participate by providing my initials and year I was born below. I also agree to hold IIMF harmless and non-liable for my child contracting the Covid-19 Virus. I understand that IIMF will do everything within their power to keep students and volunteers safe. (SSS-19xx) Use your 3 letter initials (First Name Initial, Middle Name Initial, Last Name Initial and the year you were born). If no middle name, do not use a letter for middle name."

Signature