Your help makes a huge impact!

IMPORTANT NOTE: If you are a first-time volunteer, please read and sign all necessary CCC volunteer documents prior to signing up for this volunteer opportunity.

Questions?

CCC Volunteer Application

Fields marked with an * are required

First Name *

Last Name *

Email *

Phone *

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone *

Address

City

US States

Zip

Divider

County

Date of Birth

Employer's Name (if applicable)

Position Title (if applicable)

Does your employer match volunteer hours?

Yes
No
Not sure

Does your employer offer volunteer time off (VTO)?

Yes
No
Not sure

T-Shirt Size

Which volunteer opportunities interest you? Choose all that apply.

Camps
Childcare
General Office Tasks
Information Table/Booths
Programs Help
Special Events/Fundraisers

What is your general availability? Choose all that apply.

Morning
Daytime
Evening
Weekend
Summer

What special skills or abilities might you like to utilize with CCC? Choose all that apply.

Administrative
Bilingual
Childcare
CPR/First Aid
Facilities/Maintenance
Fundraising
Graphic Design
Landscaping/Yard Work
Medical/Nursing
Photography/Videography

Please elaborate on any skills, licenses or languages.

How did you hear about Children's Cancer Connection? Choose all that apply.

Through a CCC Family
Friend/Family Member
CCC Website
Social Media
TV/Radio/Print Publication
Event
Work
Other

Additional comments?

Volunteer Handbook Agreement *

I downloaded and reviewed the Children's Cancer Connection Volunteer Handbook available at this link. I agree to comply with the organization's policies and procedures detailed in this handbook.

Volunteer Waiver *

PLEASE READ CAREFULLY. By signing below, I certify that the answers and information set out on my volunteer application are accurate, and complete, to the best of my knowledge. I acknowledge that if any answer or information is not accurate, or complete, I may not be asked to provide volunteer services.

I authorize Children’s Cancer Connection to investigate all statements contained in this application for volunteer services, as well as my character and qualifications. I release Children’s Cancer Connection from all liability for acts performed in good faith and without malice in connection with the investigation of my background and evaluation of my application.

I authorize my past and present employers, volunteer organizations, and others with information regarding my work, volunteering, or my character, to provide Children’s Cancer Connection with all information requested and to operate fully with the inquiry of my character and qualifications. I also release those employers, references, and others from all liability for providing information in good faith and without malice.

I understand and agree that the relationship between myself and Children’s Cancer Connection is voluntary and may be terminated at any time by either party.

I understand that as a volunteer, I must conform to all of Children’s Cancer Connection rules and regulations, including those in the volunteer manual.

I understand that my volunteer commitment at Children’s Cancer Connection includes a responsibility to keep information confidential. Names, diagnoses, and other patient information must not be shared. My commitment to confidentiality extends to all communications.

INDEMNIFICATION: I agree to indemnify and hold harmless Children’s Cancer Connection from any loss including any claim for liability that Children’s Cancer Connection may incur due to my participation in volunteer activities. I will also indemnify and hold Children’s Cancer Connection harmless from any costs or attorney fees related to any claim related to my participation.

This Agreement shall bind the member(s) of my family including my spouse, my heirs, assigns and personal representative.

I authorize the use of and publication of any interview, photograph, or other recording of me taken during my volunteer period at Children’s Cancer Connection. I consent to publication by news media, in promotional media or in any manner authorized by Children’s Cancer Connection. Additionally, Children’s Cancer Connection may also publish my name as a volunteer in any manner authorized by Children’s Cancer Connection.

I have read and I understand this Volunteer Waiver. My signature is voluntarily. No oral representation, statements or inducements have been made; I am at least eighteen (18) years of age and I am competent to execute this release.

Background Check Agreement *

Acceptance as a volunteer at Children’s Cancer Connection is contingent upon clear results of a criminal background check. Background checks will include a review of criminal convictions and probation. In instances where negative or incomplete information is obtained, management will assess the potential risks and liabilities and determine whether the individual should be excluded from serving as a volunteer. The following factors will be considered for applicants with a criminal history:

The nature and gravity of the crime and its relationship to the position.
The time since the conviction.
The number (if more than one) of convictions.
Whether selecting the applicant would pose an unreasonable risk to the business, its employees or the children and families we serve.

It is the policy of Children’s Cancer Connection to exclude anyone from volunteer service that has been convicted of child neglect, abuse or endangerment. Anyone who is excluded from volunteer service as a result of a background check will be provided with a copy of the background screening report in accordance with the Fair Credit Reporting Act (FCRA).

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