Senior Skip Day 2.0 Volunteers

Senior Skip Day 2.0 Volunteer Opportunity

Volunteer opportunities are available at Senior Skip Day 2.0! Join us on Thursday, April 27, 2023, from 9:00 AM – 3:00 PM at the BREC – Airline Highway Park, 16072 Airline Hwy, Baton Rouge, LA 70817. You do not want to miss out on this opportunity to serve the seniors of East Baton Rouge Parish. Attire includes your organization’s t-shirt, shorts/pants, and comfortable walking shoes. The deadline to accept volunteer applications is April 14, 2023. If you have questions, contact us at marketing@ebrcoa.org.

Senior Skip Day 2.0 Volunteer Application

Currently not accepting New Volunteers

Name
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First Name

Last Name
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Last Name

Address
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Address

Address Line 2

City
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State
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Zip Code
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Email
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Phone
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Birthdate (MM/DD/YYYY)
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What are your social media handles?

Facebook

Instagram

Twitter

In the case of an emergency:

Name (First,Last)
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Phone
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Name (First,Last)

Phone

If you are volunteering as part of a group:

Other organization (Name)

Organization Contact Person

Phone

Availability:

Please check the date / time you are available to volunteer
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Volunteer T-Shirt Size ( One T-shirt per volunteer)
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How did you hear about East Baton Rouge Council on Aging (EBRCOA)?
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Confidentiality Agreement

As a volunteer for EBRCOA, I understand that there may be times I may come in contact with confidential and/or personal information. I acknowledge that the unauthorized disclosure of the information would violate EBRCOA’s client’s right to privacy. I hereby recognize that it is my responsibility to protect such information and pledge to keep such information in absolute confidence. I further acknowledge that should I violate this confidentiality agreement it may lead to immediate termination from the volunteer program and legal action taken upon me by EBRCOA to the full extent of the law based on the severity of the damages.

Photo Release

I am to assist EBRCOA in its sponsored events and do so voluntarily. I agree to hold EBRCOA, its staff, volunteers, and participants harmless from all liability including those resulting in personal injuries, damages, claims, and losses I may incur as a result of my participation in this sponsored event.

I further grant full permission to EBRCOA and its authorized agents to use my name, photographs, and voice recordings in connection with any publicity, training material, television production, internet, including company intranet and worldwide web exposure, or any other record of this event for any EBRCOA purpose. I further understand that no special compensation will be provided to me for use of my image and that I may not be informed of the specific use of my image.

Acknowledgment

Confidentiality Agreement: As a volunteer for EBRCOA, I understand that there may be times I may come in contact with confidential and/or personal information. I acknowledge that the unauthorized disclosure of the information would violate EBRCOA’s client’s right to privacy. I hereby recognize that it is my responsibility to protect such information and pledge to keep such information in absolute confidence. I further acknowledge that should I violate this confidentiality agreement it may lead to immediate termination from the volunteer program and legal action taken upon me by EBRCOA to the full extent of the law based on the severity of the damages.

Photo Release: I am to assist EBRCOA in its sponsored events and do so voluntarily. I agree to hold EBRCOA, its staff, volunteers, and participants harmless from all liability including those resulting in personal injuries, damages, claims, and losses I may incur as a result of my participation in this sponsored event. I further grant full permission to EBRCOA and its authorized agents to use my name, photographs, and voice recordings in connection with any publicity, training material, television production, internet, including company intranet and worldwide web exposure, or any other record of this event for any EBRCOA purpose. I further understand that no special compensation will be provided to me for use of my image and that I may not be informed of the specific use of my image.

Electronic Signature (First & Last Name)
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Date (MM/DD/YYYY)
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Senior Skip Day 2.0