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Required fields are marked with an asterisk (*). Is this volunteer service court ordered? *
Do not complete the rest of the application. Court ordered volunteers must email hr.coordinator@goodwillswpa.org.
First name *
Last name *
Address *
Address Line 2
City *
State *
Zip *
Phone Number *
For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Goodwill of Southwestern PA volunteer activities, including shift reminders and cancellations.
To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Birthdate *
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Emergency Contact Name *
Emergency Contact Phone Number *
How did you learn about this volunteer opportunity?
Have you ever volunteered or been employed with Goodwill? *
If required for community service for school or other, how many hours will you work total?
Preferred volunteer placement *
To ensure equal access to our programs, participating entities MUST:
1. Let people know how to apply for the TEFAP/CSFP and how to file a Civil Rights complaint:
▪ Place the “And Justice For All” poster where it can easily be seen;
▪ Use the Nondiscrimination Statement on all materials and websites that mention FNS Programs;
▪ Notify community groups that the Program is available;
▪ Provide information when an individual or group requests it;
▪ Schedule hours of operation according to the needs of the community.
2. Identify and accommodate language needs:
▪ Find out what languages are spoken in your service area;
▪ Make sure that everyone knows what to do when a Limited English Proficient client needs help;
▪ Provide translated material if there are many people who speak another language;
▪ Hire bilingual staff when possible; otherwise, use certified interpreters or contract services (i.e. Language Lines);
▪ Do not ask clients to bring their own interpreters.
3. Accommodate persons with disabilities:
▪ Accommodate persons with disabilities by allowing them to use predesignated proxies to pick up food packages;
▪ Provide clients with hearing and vision impairments the accommodations that they need.
4. Data on race and ethnicity must be collected (CSFP):
▪ Explain to clients that collecting the data is required by law; it will not affect their eligibility, and will help to prevent discrimination;
▪ Remember that you MUST ask clients to self-identify their race and ethnicity;
▪ Clients may identify more than one race.
5. If a client states that he/she has been treated differently because of race, color, national origin, age, sex, or disability:
▪ Try to resolve issues as quickly as possible;
▪ Refer the client to the Civil Rights contact, or to the address provided on the poster; and
▪ Offer the client a civil rights complaint form.
Civil Rights Acknowledgement Signature *
If you selected retail, please indicate which store location(s) you would prefer to volunteer at
Volunteer Type
Group Name (if applicable)
Availability (days): Please note that all scheduling will be done with your site supervisor. *
Availability (times) *
Physical Limitations
Additional requirements
Are you over 18 years old? *
I, being either of legal age to consent or the legal parent or guardian of a minor child (or person unable to consent on his or her own behalf, hereinafter the “Minor”) hereby grant to Goodwill of Southwestern Pennsylvania (GSWPA), or any of its affiliates or member organizations, the right and permission to use any photograph, video, voice recording or any other likeness GSWPA has of me/the Minor for any purpose and in any and all media. I hereby grant to GSWPA the right and permission to use my/the Minor’s name in connection with the photograph, video, recording or other likeness if it so chooses. If applicable, I also grant GSWPA the right to use any Name, Mark or Logo, whether or not registered, in any manner consistent with the balance of this Authorization and Consent.
I understand that GSWPA may not condition treatment, payment, enrollment or eligibility for benefits on whether I sign this authorization. I hereby grant permission to GSWPA to put the finished pictures, negatives, reproductions and copies of the original prints, negatives or recordings of me/the Minor and any recordings which may be made of my/the Minor’s voice, including the right to substitute the voice of other persons for my/the Minor’s voice, or likeness (collectively “Tangible and Intangible Items”), in any legal usage.
I hereby grant to GSWPA permission to use said Tangible and Intangible Items in any manner deemed proper by GSWPA so long as such use is in connection with the exhibition, advertising, promotion, distribution and/or any other purpose for the service or trade of Goodwill products, services or programs. I understand the finished pictures may be used by GSWPA’s marketing department on GSWPA’s website; flyers distributed through email, posted through the headquarters building, or posted on GSWPA’s website; Facebook; Employee Newsletter; GoodWORKS Community Newsletter; Annual Report; and/or Appeal Letters.
This consent shall remain in effect for a period of five years, unless I revoke it prior to that time. I understand that I may revoke this authorization by submitting a written request to Vice President of Marketing & Development Department, Goodwill of Southwestern Pennsylvania, Robert S. Foltz Building, 118 52nd Street, Pittsburgh, PA 15201. I understand that, if I revoke this authorization, my revocation will not have any affect on actions already taken by GSWPA in reliance on my authorization.
I will not disaffirm or disavow this consent and permission on the ground that I/the Minor was unable to enter a binding contract on the date of execution hereof or any similar grounds whatsoever, or endeavor to recover from GSWPA or any of its member organizations, any sums for being depicted in any video, photograph, recording or other likeness. I understand that the information used or disclosed may be subject to redisclosure by the person(s) or class of person(s) receiving it and no longer protected by the federal privacy regulations.
By signing below, I certify that I have read and understood the above Release Form, Authorization and Consent, I have been given the opportunity to have my questions answered, and I have been informed that GSWPA must give me a copy of this document once it is signed.
Photography Release Form Acknowledgement *
Photography Release Signature *
Waiver
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
Volunteering with Goodwill is ‘at will’ and entered into voluntarily. Volunteers are free to resign as a volunteer at any time, for any reason, with or without cause. Similarly, Goodwill is free to conclude the volunteer relationship at any time. Volunteers who do not adhere to the rules and procedures of the agency or who fail to satisfactorily perform their volunteer assignment are subject to dismissal.
I understand my rights and responsibilities as a volunteer, and will abide by my obligations as a volunteer for Goodwill of Southwestern Pennsylvania to the best of my ability.
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Liability Waiver: By signing below, you (the volunteer or the volunteer's legal guardian) agree to the following:
Safety Rules and Expectations:
Listen to and follow all directions as given by any staff member of Goodwill SWPA and its affiliates.
Arrive on time and ready to work your full shift.
Respect the privacy of our staff, volunteers, residents and participants. Do not take photos or videos. Do not exchange personal information with others.
Children must be at least 14 to volunteer. Those under 18 must be accompanied and supervised by an adult volunteer during their shift.
Closed-toed shoes are REQUIRED for your safety while volunteering.
Release and Assumption of Risk: I hereby release and agree to hold harmless Goodwill SWPA and its affiliates, or its employees, interns, officers, representatives, board of directors, or any fellow volunteers from any claims, risks or liability arising out of any accidents, injuries or death to myself, my child or to any other person for whom I am lawful guardian that may result from any volunteer activities sponsored by, arranged or participated in by Goodwill SWPA and its affiliates, unless caused by the gross negligence or willful misconduct of Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise. These risks may include, but are not limited to, working around vehicles or other machinery, lifting objects and performing repetitive tasks.
Medical Care Consent and Waiver: I authorize Goodwill SWPA and its affiliates to provide me first aid and, through medical personnel of its choice, medical assistance, transportation, and emergency medical services. This consent does not impose a duty upon Goodwill SWPA and its affiliates, to provide such assistance, transportation, or services. In addition, I waive and release any claims against Goodwill SWPA and its affiliates, and associated parties arising out of any first aid, treatment, or medical service, including the lack or timing of such, made in connection with my volunteer activities with Goodwill SWPA and its affiliates, unless caused or contributed to by the gross negligence or willful misconduct Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise.
Confidentiality: As a volunteer, I may have access to sensitive or confidential information. This information includes, but is not limited to, identity, address, contact information, credit card numbers, and financial information of participants, volunteers, residents, staff, and donors. At all times during and after my participation, I agree to hold in confidence and not disclose or use any such confidential information.
Volunteer Not an Employee: I understand that (i) I am not an employee of Goodwill SWPA and its affiliates. (ii) I will not be paid for my participation and (iii) I am not covered by or eligible for any insurance, health care, worker's compensation, or other benefits. I may choose at any time not to participate in an activity, or to stop my participation entirely, with Goodwill SWPA and its affiliates.
Confirmation of Terms: By signing below, I acknowledge that I have read the above waiver and release and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
Volunteering with Goodwill is ‘at will’ and entered into voluntarily. Volunteers are free to resign as a volunteer at any time, for any reason, with or without cause. Similarly, Goodwill is free to conclude the volunteer relationship at any time. Volunteers who do not adhere to the rules and procedures of the agency or who fail to satisfactorily perform their volunteer assignment are subject to dismissal.
I understand my rights and responsibilities as a volunteer, and will abide by my obligations as a volunteer for Goodwill of Southwestern Pennsylvania to the best of my ability.
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Liability Waiver: By signing below, you (the volunteer or the volunteer's legal guardian) agree to the following:
Safety Rules and Expectations:
Listen to and follow all directions as given by any staff member of Goodwill SWPA and its affiliates.
Arrive on time and ready to work your full shift.
Respect the privacy of our staff, volunteers, residents and participants. Do not take photos or videos. Do not exchange personal information with others.
Children must be at least 14 to volunteer. Those under 18 must be accompanied and supervised by an adult volunteer during their shift.
Closed-toed shoes are REQUIRED for your safety while volunteering.
Release and Assumption of Risk: I hereby release and agree to hold harmless Goodwill SWPA and its affiliates, or its employees, interns, officers, representatives, board of directors, or any fellow volunteers from any claims, risks or liability arising out of any accidents, injuries or death to myself, my child or to any other person for whom I am lawful guardian that may result from any volunteer activities sponsored by, arranged or participated in by Goodwill SWPA and its affiliates, unless caused by the gross negligence or willful misconduct of Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise. These risks may include, but are not limited to, working around vehicles or other machinery, lifting objects and performing repetitive tasks.
Medical Care Consent and Waiver: I authorize Goodwill SWPA and its affiliates to provide me first aid and, through medical personnel of its choice, medical assistance, transportation, and emergency medical services. This consent does not impose a duty upon Goodwill SWPA and its affiliates, to provide such assistance, transportation, or services. In addition, I waive and release any claims against Goodwill SWPA and its affiliates, and associated parties arising out of any first aid, treatment, or medical service, including the lack or timing of such, made in connection with my volunteer activities with Goodwill SWPA and its affiliates, unless caused or contributed to by the gross negligence or willful misconduct Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise.
Confidentiality: As a volunteer, I may have access to sensitive or confidential information. This information includes, but is not limited to, identity, address, contact information, credit card numbers, and financial information of participants, volunteers, residents, staff, and donors. At all times during and after my participation, I agree to hold in confidence and not disclose or use any such confidential information.
Volunteer Not an Employee: I understand that (i) I am not an employee of Goodwill SWPA and its affiliates. (ii) I will not be paid for my participation and (iii) I am not covered by or eligible for any insurance, health care, worker's compensation, or other benefits. I may choose at any time not to participate in an activity, or to stop my participation entirely, with Goodwill SWPA and its affiliates.
Confirmation of Terms: By signing below, I acknowledge that I have read the above waiver and release and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
I, the parent / legal guardian of listed minor, do hereby allow him / her to volunteer for Goodwill of Southwestern PA, the terms and conditions for which shall be determined by the manager / supervisor on site.
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I, being either of legal age to consent or the legal parent or guardian of a minor child (or person unable to consent on his or her own behalf, hereinafter the “Minor”) hereby grant to Goodwill of Southwestern Pennsylvania (GSWPA), or any of its affiliates or member organizations, the right and permission to use any photograph, video, voice recording or any other likeness GSWPA has of me/the Minor for any purpose and in any and all media. I hereby grant to GSWPA the right and permission to use my/the Minor’s name in connection with the photograph, video, recording or other likeness if it so chooses. If applicable, I also grant GSWPA the right to use any Name, Mark or Logo, whether or not registered, in any manner consistent with the balance of this Authorization and Consent.
I understand that GSWPA may not condition treatment, payment, enrollment or eligibility for benefits on whether I sign this authorization. I hereby grant permission to GSWPA to put the finished pictures, negatives, reproductions and copies of the original prints, negatives or recordings of me/the Minor and any recordings which may be made of my/the Minor’s voice, including the right to substitute the voice of other persons for my/the Minor’s voice, or likeness (collectively “Tangible and Intangible Items”), in any legal usage.
I hereby grant to GSWPA permission to use said Tangible and Intangible Items in any manner deemed proper by GSWPA so long as such use is in connection with the exhibition, advertising, promotion, distribution and/or any other purpose for the service or trade of Goodwill products, services or programs. I understand the finished pictures may be used by GSWPA’s marketing department on GSWPA’s website; flyers distributed through email, posted through the headquarters building, or posted on GSWPA’s website; Facebook; Employee Newsletter; GoodWORKS Community Newsletter; Annual Report; and/or Appeal Letters.
This consent shall remain in effect for a period of five years, unless I revoke it prior to that time. I understand that I may revoke this authorization by submitting a written request to Vice President of Marketing & Development Department, Goodwill of Southwestern Pennsylvania, Robert S. Foltz Building, 118 52nd Street, Pittsburgh, PA 15201. I understand that, if I revoke this authorization, my revocation will not have any affect on actions already taken by GSWPA in reliance on my authorization.
I will not disaffirm or disavow this consent and permission on the ground that I/the Minor was unable to enter a binding contract on the date of execution hereof or any similar grounds whatsoever, or endeavor to recover from GSWPA or any of its member organizations, any sums for being depicted in any video, photograph, recording or other likeness. I understand that the information used or disclosed may be subject to redisclosure by the person(s) or class of person(s) receiving it and no longer protected by the federal privacy regulations.
By signing below, I certify that I have read and understood the above Release Form, Authorization and Consent, I have been given the opportunity to have my questions answered, and I have been informed that GSWPA must give me a copy of this document once it is signed.
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Liability Waiver: By signing below, you (the volunteer or the volunteer's legal guardian) agree to the following:
Safety Rules and Expectations:
Listen to and follow all directions as given by any staff member of Goodwill SWPA and its affliates.
Arrive on time and ready to work your full shift.
Respect the privacy of our staff, volunteers, residents and participants. Do not take photos or videos. Do not exchange personal information with others.
Children must be at least 14 to volunteer. Those under 18 must be accompanied and supervised by an adult volunteer during their shift.
Closed-toed shoes are REQUIRED for your safety while volunteering.
Release and Assumption of Risk: I hereby release and agree to hold harmless Goodwill SWPA and its affiliates, or its employees, interns, officers, representatives, board of directors, or any fellow volunteers from any claims, risks or liability arising out of any accidents, injuries or death to myself, my child or to any other person for whom I am lawful guardian that may result from any volunteer activities sponsored by, arranged or participated in by Goodwill SWPA and its affiliates, unless caused by the gross negligence or willful misconduct of Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise. These risks may include, but are not limited to, working around vehicles or other machinery, lifting objects and performing repetitive tasks.
Medical Care Consent and Waiver: I authorize Goodwill SWPA and its affiliates to provide me first aid and, through medical personnel of its choice, medical assistance, transportation, and emergency medical services. This consent does not impose a duty upon Goodwill SWPA and its affiliates, to provide such assistance, transportation, or services. In addition, I waive and release any claims against Goodwill SWPA and its affiliates, and associated parties arising out of any first aid, treatment, or medical service, including the lack or timing of such, made in connection with my volunteer activities with Goodwill SWPA and its affiliates, unless caused or contributed to by the gross negligence or willful misconduct Goodwill SWPA and its affiliates, its agents, servants, or employees, or otherwise.
Confidentiality: As a volunteer, I may have access to sensitive or confidential information. This information includes, but is not limited to, identity, address, contact information, credit card numbers, and financial information of participants, volunteers, residents, staff, and donors. At all times during and after my participation, I agree to hold in confidence and not disclose or use any such confidential information.
Volunteer Not an Employee: I understand that (i) I am not an employee of Goodwill SWPA and its affiliates. (ii) I will not be paid for my participation and (iii) I am not covered by or eligible for any insurance, health care, worker's compensation, or other benefits. I may choose at any time not to participate in an activity, or to stop my participation entirely, with Goodwill SWPA and its affiliates.
Confirmation of Terms: By signing below, I acknowledge that I have read the above waiver and release and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
