NBG | Volunteer Application Name* Preferred Pronouns:(optional) she/her he/him they/them Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email:* Enter Email Confirm Email Phone:*Emergency Contact: Emergency Contact Phone:Most recent educational/work background:Attache resume (if desired):Accepted file types: pdf, doc, docx, Max. file size: 8 MB.Previous volunteer experience:Times available:I am interested in the following docent opportunities:* Leading Adult Programming Leading Children's Programming Research (helping to create tours) Special Events Other Please describe you area you are interested in volunteerining in: Volunteer AgreementBy signing and submitting this Volunteer Acknowledgment and Waiver, I confirm that I wish to participate as a volunteer in the North Burial Ground (NBG) Volunteer Program, and to contribute to the NBG’s mission to memorialize the deceased, comfort the living, and be a historical destination for the community. I confirm and acknowledge that my services are voluntarily offered and are rendered as a non-compensated volunteer to assist with the NBG’s general activities and programs. I agree to abide by NBG policies and procedures, as well as all state, federal, and local laws. I understand that since my services to NBG are voluntary, I may stop volunteering at any time, and NBG may terminate my services with or without cause. I understand that this agreement is effective for twelve months following its execution.Risk AcknowledgementI understand that my volunteer participation, and any travel associated with it, could involve risk of bodily injury, property damage, or death. I accept and fully understand these risks. I acknowledge that each volunteer is responsible to participate only in those activities of which he/she is physically capable and understand that I may decline to participate in any activity at any time. I understand and acknowledgeInsuranceI understand that my services and participation are rendered as a volunteer in a non-employee capacity. Employee benefits, such as health insurance, cannot be offered and workers’ compensation is not applicable. I acknowledge that accident insurance coverage that NBG may carry applicable to volunteers, if any, would be secondary and excess to all other applicable insurance policies, including, but not limited to my own health care and auto insurance coverage. I acknowledge that I am responsible for obtaining and sustaining my own health and auto insurance coverage. I understand and acknowledgeEmergency Medical TreatmentShould I become injured or ill during my volunteer activities, I authorize NBG personnel to obtain emergency medical services for me at their discretion. I accept responsibility for any related costs, and release NBG and its staff from liability for such decisions. I understand and acknowledgeWaiver of LiabilityIn consideration of the opportunity afforded to me to assist on a voluntary basis, with full knowledge and appreciation of the risks involved and in light of the NBG’s aims and purposes, I agree to indemnify, release and hold harmless the North Burial Ground, the Providence Parks Department, City of Providence and their employees and representatives. I understand and agree that this liability waiver and indemnification will extend in perpetuity. I understand and acknowledgeMedia ReleaseI give unrestricted permission to the Providence Parks Department and its employees or agents to use my name and/or pictures/photographs, recordings, interviews, videotapes, motion pictures or similar visual or auditory recording of me created in connection with my volunteer service. I understand and acknowledgeI acknowledge that I have had the opportunity to review this form and have it reviewed by legal counsel if I choose. I understand the foregoing and agree to be bound by the same.I acknowledge that I have had the opportunity to review this form and have it reviewed by legal counsel if I choose. I understand the foregoing and agree to be bound by the same. I understand and acknowledgeTyping your name serves as your signature: PhoneThis field is for validation purposes and should be left unchanged. Download the BCI Authorization