CAGISC Volunteer Application Form

When you are available to volunteer (specify hours of availability)?

Volunteer area of interest:

Are you willing to travel internationally for medical missions and projects?

Have you been convicted of a crime?

  • If yes, please describe:

HEALTH:CAGISC requires that all volunteers with close consumer contact provide proof of a documented negative result on a Mantoux test completed within three years from the date of this volunteer application.

REFERENCES: List two people, not related to you who have knowledge of your qualifications.

As a volunteer for CAGISC, I agree to abide by all applicable rules and regulations of the organization. I understand that I will receive no monetary benefits in return for my volunteer service and that CAGISC may terminate this agreement at any time without prior notice for any reason. I hereby authorize CAGISC to check my references, and I understand that a criminal background check is required.

I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal.

I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined. I agree to an interview with a CAGISC program director to make a decision about my application.

I hereby Release and Waive liability against CAGISC, a non-profit corporation, its directors, officers, employees and agents, its successors and assigns, for any injuries or illness that I myself or my dependent may suffer in connection with any volunteer work for CAGISC. Further, I agree that CAGISC is not liable for any damage to my property or my dependent’s property resulting from volunteer work for CAGISC. I agree that this release is as broad and inclusive as permitted by the laws of the State of Maryland.

References checked and approved by CAGISC official