Please complete the application below in order to begin volunteering with the Community Assistance Network (CAN). 

What's your email address?

Your information


Required fields are marked with an asterisk (*).
First name *
Last Name *
Address *
City *
State *
Zip Code *
DOB *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Mobile # *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Community Assistance Network will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Organization/Business/Affiliation (if applicable)
What are your volunteer interests?
At which CAN location are you interested in volunteering? Select all that apply




Which days would you be available to volunteer?






Waiver

To help protect the Community Assistance Network (CAN) and to minimize liability, please read the following conditions that apply to your service as a volunteer.

1. I wish to volunteer my time, effort, and services as a volunteer to assist CAN.

2. I have read the Volunteer Handbook and policies of CAN. I understand the expectations of me as a volunteer and I agree to follow them.

3. As a volunteer, I donate my time, effort, and services to CAN and understand that I will receive no compensation in return.

4. I recognize and understand that my volunteer activities for CAN may expose me to the possibility of injury to my person and property and that I may suffer injury as a result of an accident or other unforeseen circumstances.

5. I recognize that as a volunteer, I am not covered by any workers compensation or similar insurance that would pay my medical bills incurred because of any injury I may receive while performing services as a volunteer.

6. Despite this risk of injury and lack of workers compensation or other medical insurance coverage from CAN, I knowingly and voluntarily waive any and all claims, actions, or causes of action against CAN and agree to hold the agency, its agents, affiliates, and volunteers harmless for any injury or damage that I may suffer as a result of my activities as a volunteer at CAN.

7. In return for my agreement to these conditions, CAN accepts my services as a volunteer.

8. Photo release: I hereby grant permission to CAN and its staff to photograph my image, likeness, or depiction. I hereby grant permission to CAN to edit, crop, or retouch such photographs, and waive the right to inspect the final photographs. I hereby consent to and permit photographs of me to be used by CAN worldwide for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that CAN may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for CAN's use or publication of photographs of me. I hereby fully and forever discharge and release CAN from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me, and covenant and agree not to sue or otherwise initiate legal proceedings against CAN for such use or publication on my own behalf. I hereby specifically grant the above permissions and releases to CAN with respect to any and all actions related to CAN newsletters or other publicized communications, understanding that they are internet accessible and viewable by anyone. I further understand that no compensation will be provided to me for use of my image or story.

All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable. I acknowledge and represent that I am over the age of 18, have read this entire waiver, understand its terms and provisions, and that I have signed it knowingly and voluntarily.