ICC | volunteer

Volunteer Form

The India Community Center (“ICC”) does not discriminate in securing volunteers on the basis of race, color, religious creed, national origin, sex or ancestry; or on the basis of age against persons whose age is over 40 or on the basis of disability and any other characteristic required by law. No question of this form is intended to secure information to be used for such discrimination.

Name Email Address Contact Number Age Address City State Zip Code Occupation Employers Name Volunteering Experience Reason For Volunteering Departments to Volunteer Prefereable Time to Volunteer References Reference Relation Emergency Contact No. Have you ever been convicted of a criminal offence? (Felony or misdemeanor)? (You may omit traffic offences, any convictions which have been sealed, expunged or statutorily eradicated, convictions more than two years old for marijuana related offences for personal use and misdemeanors for which probation was completed and the case judicially dismissed)
Yes No
Confidentiality clause: Handling data in the volunteering form that is highly sensitive. A pledge to guarantee to not disclose any such information to others without correct authorization.
I hereby acknowledge that I have read and understood the above statements and that I voluntarily sign this application.

Volunteer Form

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