VOLUNTEER with united way of southwest louisiana

FEMA APPEALS IN-PERSON CLINIC
TueSDAY, June 8TH
WEDNESDAY, june 9TH
Once you register below, we will be in touch with the details. 

We will be holding another in-person FEMA Appeals Clinic on Tuesday, June 8th and Wednesday, June 9th from 10 am until 4 pm. Please choose from the volunteer choices below for assisting community members.

Legal First Name:
Legal Middle Name:
Legal Last Name:
Social Security Number:
Mailing Address:
City:
State:
Zip Code:
T-Shirt Size:
Email:
Cell Phone:
What time of day would you be available to volunteer? (Hold CTRL key to select more than one choice):
TUESDAY, JUNE 8TH in Lake Charles:
WEDNESDAY, JUNE 9th in Lake Charles:
How would you rate your proficiency at using the internet to fill out forms and upload materials? 10 = You are a pro! and 1 = You have never seen the internet!:
I understand United Way of Southwest Louisiana will conduct a background check prior to interviewing me.:
Liability Release: I hereby release and hold harmless United Way of Southwest Louisiana, the agency where I volunteer, and sponsors and supervisors of all activities, from any and all liability for any injury I may suffer (including any injury caused by negligence) in conjunction with the volunteer activity. I also certify that I am in good health and able to participate in the program activities. I certify that I am 18 years of age or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my initials below and warrant that I fully understand the contents thereof.*:::
Communications Release: I hereby waive any claim to the rights of photographic recordings made of me during United Way of Southwest Louisiana's volunteer activity. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recordings for purposes deemed suitable by United Way of Southwest Louisiana. I hereby waive any right to approve the finished products. I certify that I am 18 years of age or older and am competent to contract my own name as far as the above is concerned. I have read the foregoing release, authorization and agreement, by accepting I fully understand the contents thereof.*:::
I understand that United Way of Southwest Louisiana is a trusted, community organization committed to serving people in need; therefore, I attest that I am not experiencing any symptoms of illness such as a fever or cough. Furthermore, I aware that I am expected to adhere to the safety and hygiene protocols that have beenimplemented by United Way of Southwest Louisiana including but not limited to Washing hands frequently with soap and water for at least 20 seconds especially beforeand after your volunteer shift, blowing your nose, coughing or sneezing. • If soap and water are not readily available, I agree to use provided hand sanitizer thatcontains at least 60% alcohol. • Cover your mouth and nose with a tissue or use the inside of your elbow when you cough or sneeze and to throw used tissues in thetrash. • Waving to friends or acquaintances rather than hugging or hand shaking.:::

cORPORATE CORNERSTONEs

Our Corporate Cornerstone Companies designate their gifts to help underwrite United Way of Southwest Louisiana’s annual campaign, dues and administrative costs. With these designations, United Way of Southwest Louisiana is able to maximize the dollars donated to our campaign. 

ig feed