Volunteer Application & Interests Form (Page 2 of 2) in pdf

Volunteer Application & Interests Form

cont’d

FOR FOG MEMBERS' USE ONLY

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ACKNOWLEDGEMENT OF RISKS

Volunteer’s Initials:_____________

I acknowledge and accept that there are inherent risks associated with volunteering at properties occupied by MUN Botanical

Garden (the Garden) and at other venues in which the Garden, and the Friends of the MUN Botanical Garden (FOG), conduct

their affairs.

understand that the property occupied by the Garden contains wild animals, cultivated and natural areas, walking trails and

various buildings in and around which FOG and/or the Garden hosts and/or conducts activities and that I am responsible for

respecting signage and acting in a safe manner

I also understand that the Garden follows Memorial University of Newfoundland (MUN)’s health and safety policies, adheres to

MUN’s risk management guidelines and takes every reasonable effort to ensure that volunteer venues are set-up and used in

a safe manner. I understand and acknowledge that these policies and guidelines apply to activities in which I engage as a

FOG volunteer.

In signing this Volunteer Application & Interest Form I expressly and specifically assume all risk of injury or harm associated

with my volunteer activities with FOG and the Garden

ACCEPTANCE OF VOLUNTEER OBLIGATIONS

Volunteer’s Initials:____________

As a FOG volunteer, I hereby accept each of the following obligations as indicated by my initials above:

ü to assume all risks when working in and around the Garden and in other areas where activities and/or events are conducted

and/or hosted

ü to follow all relevant policies and practices brought to my attention

ü to acknowledge that I am not to be regarded as an employee of either FOG, or MUN BG, or MUN

ü to agree that I am not entitled to any employment benefits or payment for my volunteered services

ü to disclose my date of birth and any other information required for FOG’s or MUN’s insurance purposes

ü to be respectful in all my interactions with people and with the natural environment

ü to carry out my volunteer tasks in a safe and diligent manner minimizing risks to myself and others

ü to work under the assigned supervisor’s direction

ü to keep confidential any personal information to which I may gain access

RELEASE, INDEMINFICATION & CERTIFICATION

I hereby agree to release and waive liability for all claims that I have, or may in the future have, against FOG, the Garden,

MUN, its agents, servants and employees, or any person(s), entities or organization(s) associated in any way with this

Agreement, from any and all liability for any loss, damage, injury or expense that they I suffer as a result of this Agreement

due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on

behalf of either FOG, or the Garden or MUN.

I hereby indemnify and shall hold harmless FOG, the Garden, MUN, its agents, servants and employees (each of the foregoing

being hereinafter referred to individually as "Indemnified Party") against all claims, demands, causes of action, actions,

judgments, or other liability (other than liability solely the fault of the Indemnified Party) arising out of, resulting from, or in

connection with this Agreement.

I also hereby certify that the information I have provided on this Volunteer Application is true and accurate.

__________________________

__________________

__________

Volunteer's Name (Please Print)

Signature

Date

________________________________

_______________________

_____________

Witness Name (Please Print)

Signature

Date

Personal Information & Privacy Disclaimer

The information provided on this form is for the exclusive, confidential use of FOG and will be maintained in accordance with Canada's

Personal Information Protection and Electronic Documents Act.

For Office

Contact: Questions

Data Base Updated:

Other

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Use Only:

File Ref FOG Form Volunteer Application Interests 2016-17

Volunteer Application & Interests Form Page 2

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