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SOH Volunteer Application

Volunteer information
Contact information
Emergency contact information
Volunteer interest and availability
Volunteer interest

Please select one.
Volunteer to tutor weekly from November through May.
Share the weekly commitment with a friend/coworker from November through May.
Substitutes are needed to cover tutoring sessions when weekly tutors are not available.
What returning tutor orientation would you like to complete/attend?

Returning tutors are required to complete one 30-minute orientation. Please select how you would like to fulfill this requirement.
Will be held at United Way of Racine County offices.
Held on Microsoft Teams.
Receive a recording of training to watch and complete webform to confirm completion.
I plan to attend returning tutor orientation in-person.

Please select the orientation that you would like to attend. In-person orientation will be held at United Way offices, 2000 Domanik Dr.
I plan to attend virtual returning tutor orientation.

Please select the orientation that you would like to attend. You will receive a meeting link via email.
What first year tutor orientation would you like to complete/attend?

First year tutors are required to complete a one-hour long orientation. In-person orientations will be held at the United Way of Racine County offices. Virtual orientations will be held on Microsoft Teams. Please select how you would like to fulfill this requirement.
Will be held at United Way of Racine County offices, 2000 Domanik Dr.
Held on Microsoft Teams.
I plan to attend new tutor orientation in-person.

Please select the orientation that you would like to attend. In-person orientation will be held at United Way offices, 2000 Domanik Dr. 
I plan to attend new tutor orientation virtually.

Please select the orientation that you would like to attend. You will receive a meeting link via email.
Is there any additional information that I should know? Feel free to add questions, comments and/or concerns here.
Volunteer demographics
How do you describe your race?
How do you describe your ethnicity?
The information provided in this section will not be connected to your name. 
Terms
An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable. By volunteering to provide in-person services you voluntarily assume all risks related to exposure to COVID-19.
This will confirm that the undersigned, having the sole right to do so, for good and valuable consideration (the receipt of which is hereby acknowledged), grants to United Way of Racine County, to include United Way Worldwide and its affiliated organizations, members, successors, assigns and licensees, a non-exclusive and irrevocable right to photograph, record, reproduce, publish, copyright, or otherwise use my name, photographic portraits or pictures, film, videos, internet postings, or sound recordings or any part thereof that may have been taken of me during United Way events and/or activities in written or electronic format, video or film (Content) for promotional, advertising, or other charitable purposes in any media including the world wide web related to the United Way community impact activities. This also includes any tweets or messages through social media.

I acknowledge and agree that nothing contained herein requires United Way to use any Content as described herein.

I represent and warrant that the consent of no other third party is required to enable United Way to use the Content as described herein, and that such use will not violate or infringe upon the rights of any third parties.

I acknowledge and agree that United Way has the right to assign this agreement and/or the rights herein (in whole or in part) to any party.

I acknowledge that its sole remedy for any breach shall be an action for damages, and irrevocably waive any right to obtain equitable or injunctive relief.

I waive any right of inspection, preapproval, or claims for compensation.

I am of full age and have the right to contract in your own name and have read the above consent and permission and are fully aware of its contents. In the event I am a minor, the signature of a parent or legal guardian is required. I will contact United Way of Racine County to make further arrangements.

This Consent and Release contains the full and complete understanding between the parties and supersedes all prior agreements and understandings pertaining hereto and cannot be modified except by a writing signed by each party.
 
Racine Unified School District and United Way of Racine County require all volunteers working with students to have a current background check on file. After completing your volunteer orientation, you will receive an email with a link that will take you to the Sterling Volunteer application. 

I understand that my eligibility to be a volunteer is dependent on my background check results. 

I understand that Racine Unified School District and United Way of Racine County shall not be held liable in any respect if my volunteering is terminated because of false or incomplete statements, answers or omissions made by me on the disclosure form of any other document.

If accepted as a volunteer, I understand that I will be expected to keep in absolute confidence any and all confidential information that comes to my attention as the direct result of my volunteer duties.

Interested in helping out?