VOLUNTEER APPLICATION 2018

Transcription

1 WV VOAD 2700 E. Dupont Ave., Suite 14 Belle, WV Dear Volunteer, Thank you for your interest in volunteering with West Virginia Voluntary Organizations Active in Disaster (WV VOAD). Please read carefully and complete the volunteer application packet, a form check list is provided. It is recommended that you have 2-3 different available dates filled in on the Team Information Record, under Dates of Interest, in order for our office to schedule your team. After submitting the volunteer application, you will be contacted by our office to formally set the date of your arrival, date of departure, project details and housing arrangements. The Volunteer Skills List, Photo Release Form and Individual Release of Liability Form need to be completed by each volunteer and submitted to the WV VOAD office as soon as possible. The skills list will better help us match your group to a project. Completed copies of the Liability form should also be kept on hand by the team leader for the duration of your stay. Any team members under 18 must have a parent sign the release forms as well. Once your housing is arranged, you will be in direct contact with their representative regarding arrival time, facility details, etc. However, a WV VOAD member agency representative will meet with your team for a job orientation at 6:00 p.m. Throughout the project, your team will work closely with a site supervisor. WV VOAD has a very limited number of tools for your use. Enclosed is a list of suggested tools you can bring. Your team will also be responsible for meals during your stay; the noonday meal should be a packed lunch that can be eaten on the job site. Available dishes and cookware will vary depending on housing. Thank you again for your interest in volunteering your time and energy to help the recovery of West Virginia families. If you have any questions about volunteering, please contact the WV VOAD office at the information listed below. Sincerely, Michael Austin Volunteer Coordinator (304) Michaelaustin@wvvoad.org Cc Bethany Bentley, Recovery Coordinator, bethanyfreeman@wvvoad.org

2 Team Information Record Dates of interest: First Choice: Second Choice: Third Choice: Group Name: Contact person: Telephone: (day) (night) (cell) Address: address: Total number in group: Number/Age Women: Number/Age Men: Please indicate any special housing needs: For WV VOAD Office Use Date called: Arrival Date: Departure Date: Date confirmed: Time: Time:

3 Form Check List Team Information Record Volunteer Skills List Photo Release Form Individual Release of Liability Form Volunteer Tool List WV VOAD Tool List

4 Volunteer Skills List Name: Occupation: Group Name: All participants should fill out this form with an accurate assessment of experience. Check all category boxes matching your skills & experience, including sub-categories. No Construction Related Experience Non-Professional Experience: (For Do-It-Yourselfers & Volunteer Workers) Skill Category: (Check all that apply) Level of Experience: (Check one) Low / Moderate / High Painting Interior / Exterior / / Drywall Installing / Finishing / / Carpentry General / Framing / Finishing / / Roofing Metal / Shingle / / Windows Replacement / New Construction / / Flooring LVP / Vinyl Sheet / Laminate / / Siding Wood / Vinyl / / Electrical Repairs / New Installations / / Plumbing Repairs / New Installations / / Masonry Concrete / Block / Brick / / Kitchen Cabinets / Tops / / Professional Experience: (For Construction Related Contractors & Employees) Skill Category: (Check all that apply) Experience Details: (Check/Write-in all that apply) Employee / Contractor / No. of Years Painting Interior / Exterior / / Drywall Installing / Finishing / / Carpentry General / Framing / Trimming / / Roofing Metal / Shingle / / Windows Replacement / New Construction / / Flooring LVP / Vinyl Sheet / Laminate / / Siding Wood / Vinyl / / Electrical Journeyman / Master / Helper / / Plumbing Journeyman / Master / Helper / / HVAC Journeyman / Master / Helper / / Masonry Concrete / Block / Brick / / Kitchen Cabinets / Tops / / Tools you will be bringing:

5 Photo Release Form I, (print) hereby give my permission to be photographed, video recorded and quoted by the West Virginia Voluntary Organizations Active in Disaster (WV VOAD) member agencies for the purpose of promotion through the WV VOAD member agency websites, Facebook pages, news release, slide presentations and newsletters. Signature Date I am over 18 years of age Yes No If no, parent or guardian s signature Date

6 Individual Release of Liability Form Please read before signing, as this constitutes the agreement as a volunteer and the understanding of your working relationship as a volunteer with West Virginia Voluntary Organizations Active in Disaster (WV VOAD) I (print) acknowledge and state the following: I have chosen to travel to West Virginia to perform clean-up/ construction work designed to repair damaged homes. I understand that this work entails a risk of physical injury and often involves hard physical labor, heavy lifting, and other strenuous activity, and that some activates may take place on ladders. I certify that I am in good health and physically able to perform this type of work. I understand that I am engaging in this project at my own risk. I assume all risk and responsibility as well as related costs and expenses for any damage or injury to my property or any personal injury, which I may sustain while involved in this project. In the event that WV VOAD arranges accommodations, I understand that they are not responsible or liable for my personal effects and property and that they will not provide lock up or security for any items. I will hold them harmless in the event of theft, or for loss resulting from any source or cause. I further understand that I am to abide by whatever rules and regulations may be in effect for the accommodations at the time. By my signature, for myself, my estate, and my heirs, I release, discharge, indemnify and forever hold WV VOAD and any other related Disaster Response Agency, together with their officers, agents, servants and employees, harmless from any and all causes of action arising from my participation in this project, including travel or lodging associated therewith, or any damages which may be caused by their own negligence. Please Print Name Address: Emergency Contact Phone ( ) Cell ( ) Work ( ) Signature Date I am over 18 years of age Yes No If no, parent or guardian s signature Date

7 Volunteer Tool List *WV VOAD has a very limited number of tools for your use. (See list on next page) Individuals should bring Utility knife Tape measure Hammer Straight screwdriver Phillips screwdriver Work gloves Personal Items Long pants Long sleeved shirt Sweatshirt T-shirts Work shoes or boots Jacket (winter months) Work gloves Soap Shampoo Bug spray Sunscreen Wash cloth and towel Sheets, pillow, blanket Team should bring Dust Masks Safety Glasses Driver Bits (an ongoing issue of getting lost) ¼ hex-driver bits T-bits (star - which we predominately use with T-25 deck screws) Phillips & Square bits Cell phone *(please be aware that there may be some areas where cell service is limited) Circular Saws Reciprocating Saws Framing Squares Drywall Squares Electrical Drills Battery Drills/Impacts Chalk Lines Caulk Guns Pry Bars If Possible Ladder(s) 6 or 8 Miter Saw Table Saw

8 Working on Multiple jobs will require multiple tools. WVVOAD Tool Trailer has the following tools in it. The trailer will be parked at the lodging location and tools checked out from there to be taken and used at the job sites. 1 set Saw horses 2 Pancake Compressors & 2 air hoses 1 Pneumatic roofing nailer & 18ga. Trim nailer & crown stapler 1 Paslode gas cartridge 16ga finish nailer 1 sliding miter saw and stand 1 electric reciprocating saw, jig saw & circular saw 2 Electric drills 1 Table saw 2 6ft step ladders 1 Folding aluminum adjustable ladder (MT22) 1 Fly (spade bit) set, Hole saw set 1 Wheel barrow 1 Cement mixer Large set of SAE & Metric socket, open end and Allen wrench set. 5 adjustable wrenches One - 6ft. level; two - 4ft. level; four - 2ft. levels Two framing squares & one drywall square 1 Hand power planer, orbital sander, palm sander & belt sander 6 extension cords, one 5-way & one 3-way 3 shovels, one garden rake Porter Cable 20 volt cordless tool set 3 drills, 2 impact & 1 circular saw, reciprocating saw, oscillating tool (saw), jig saw, flashlight 7 total batteries w/ 3 chargers Milwaukee 18 volt cordless tool set 1 Reciprocating saw, circular saw & drill/hammer drill 2 Lithium batteries Plumbing tools: PEX copper crimp ring tool (Changeable 3/8, ½, ¾ & 1 ), ring removal tool, PVC cutters, copper tube cutter, Kitchen sink basin wrench, 2-pipe wrenches, large channel locks. Electrical tools: has everything needed to check electrical circuits, fish tape, glow fish rods, cutters, strippers, needle nose pliers, screw drivers