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Volunteer Pre-Screening & Registration

PLEASE SUBMIT THIS FORM ON THE DAY YOU ARE SCHEDULED TO VOLUNTEER.

For the safety of all volunteers and staff during the COVID-19 pandemic, everyone must register and complete this pre-screening survey and waiver, in advance, every time you volunteer. Unfortunately, that means absolutely no walk-ins will be permitted.

If you are not feeling well or have any concerns about volunteering PLEASE STAY HOME AND RESCHEDULE YOUR VOLUNTEER HOURS.

All volunteers must complete the following pre-screening survey:

  • Please do not volunteer if you are sick or live with someone who is at high risk.
  • Clean and wash your hands before, during, and after volunteering for a minimum of 20 seconds. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol.
  • Masks are optional.
  • Volunteers who do not follow these guidelines will be asked to leave.

At this time, volunteers must be aged 14+.

 

First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
I certify that I have not been exposed to COVID-19 or experienced any symptoms (fever, dry cough, shortness of breach, etc.) in the past 2 weeks and have not been in contact with anyone who has been diagnosed with or is suspected to be positive with COVID-19.
Are you a returning or new volunteer?
Which location are you registering for?
Are you volunteering as:

Greater Newark Conservancy will take all precautions necessary to provide and maintain a safe environment for its volunteers. I understand that volunteerism with Greater Newark Conservancy will involve working in outdoors and can sometimes include but is not limited to, lifting, working tools, and with or around heavy equipment. I am expected to follow safety rules at all Conservancy project locations. I hereby accept and assume full responsibility for any injury I might suffer while volunteering. As a volunteer, I grant Greater Newark Conservancy permission to use images of me for the purpose of illustration and promoting its mission through any medium.

I hereby give permission to use, and/or publish images of me through any medium for promotional or other uses furthering the mission of Greater Newark Conservancy.

I have read the safety rules for volunteering and I agree to take responsibility when volunteering. I will notify Conservancy staff if I am allergic to bees, or have an Epi-Pen.

I have read and agree to the above pre-screening survey and waiver statements.
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