Legal name required for purposes of confidential background check. Your legal name will not be shared or used except where required by law or without your written permission.

Birth date is required both for background checking and because some of our volunteer opportunities require volunteers to be 18 or 21 years of age, again, for legal reasons

Legal sex required for the purpose of a confidential background check. Your legal sex will not be shared or used except where required by law or without your written permission

Volunteer Confidentiality Agreement and Release of Liability: Confidentiality Respectful and strict confidentiality is expected of all volunteers. All observed or communicated information, whether obtained formally or informal, is to be considered completely confidential - even if it seems public or unrelated to GRPC. Names and identities of members are also confidential. By participating as a volunteer, I agree to respect the privacy of other volunteers, staff, and members and to not disclose anything that is discussed during hours of service, before or after hours of service, or during breaks from hours of service. If at any time I violate the confidentiality of another volunteer or member, I understand that my participation with GRPC is terminated and I will face the full legal consequences of my actions up to, and including, fines and imprisonment. Release of Liability I hereby release GRPC, agents of GRPC, and members, from any and all liability for real or perceived physical, mental, or emotional harm incurred before or after, during travel to or from, during breaks of, or during, the hours of service. In consideration of my participation in any and all events of GRPC, I, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages, demands, actions whatsoever in any manner, as a result of participation in any activities/events including travel to and from events. By completing this form and submitting the information below, I agree to the conditions herein.

Background Check. I hereby authorize Grand Rapids Pride Center (GRPC) bearing a copy of this release, at anytime during my participation as a volunteer to run a background check. I understand that at a minimum the GRPC will run the background check once a calendar year. GRPC may obtain any information pertaining to my criminal history from local, state or federal agencies as necessary to ensure the safety of GRPC, it's staff or others in the community. , This release is executed with the full knowledge and understanding that the information is for the official use of GRPC. Consent is granted for GRPC to furnish such information, as directed above to third parties in the course of fulfilling its official responsibilities. I hereby release GRPC and any agencies needed to obtain this information from any and all liability for damages of whatever kind, which may at the time result to me, my heirs, family or associates because of my compliance with this authorization and request to release information, or any attempt to comply with it.

Media Release. I acknowledge that my participation is completely voluntary. I understand that by participating in volunteer activities with Grand Rapids Pride Center (GRPC) I may be recorded on video and/or audio tape and such recordings may be broadcast on television, radio, or via the internet, and I give my consent. I understand that by participating I may be photographed or quoted and that such photos or quotations may be published in a newspaper, a magazine, a publication of the GRPC, or on the internet, and I give my consent. I agree to release GRPC staff, agents, contractors, and programs from any liability associated with the broadcast of video or audio tape recordings or publication of photographs of my participation in volunteer activities for GRPC.

Agreement certifying that the above information is true and correct.

Emails and contact information are kept confidential and are for in-house use only. They are never shared with 3rd parties.