________________________________________________________
*Applicant’s First Name *Last Name Volunteer Application Page 2
STAFF ONLY: Date Turned In Date Faxed Orientation Date Date Started (VSO Received: )
*Is this volunteer service REQUIRED by an organization or program (School, Court, etc.)? *Yes No
If *YES, please list the program and requirements:
If you are volunteering in anticipation of or to fulfill court required community service or if you have any pending
charges, you MUST contact the Volunteer Services Office at 404-612-9486 to discuss additional paperwork prior
to being placed. We will not verify any hours served if the volunteer fails to complete this step prior to placement.
*Read the following agreement and sign below if you agree with all statements:
In consideration of being allowed to engage in volunteer activities in the Fulton County Library System (“Library System”), I hereby
voluntarily execute this Volunteer Waiver for myself, or my minor child if applicable, under the following terms:
*I acknowledge and agree that I am volunteering my services to the Library System as a public service, on an as needed basis, and
that I am not an employee of the Library System and will receive no pay, benefits, or other privileges of employment of any kind for my
services, including no medical or workers’ compensation coverage.
*I understand and agree that my services as a volunteer can be ended at any time by me or by the Library System, and that I am not
eligible for unemployment compensation benefits when my volunteer assignment ends.
*I understand the nature of the volunteer activities to be performed, and recognize that in performing such activities, a risk of harm or
injury exists (some of which I may not recognize). I agree that my attendance and involvement in activities undertaken for or in support
of the Library System, whether supervised by Library System staff or not, is voluntary and at my own risk.
*I understand that volunteers may be assigned to a library or a community event, festival or other organization’s location to perform
library volunteer activities, and I am willing to perform volunteer activities in either a library or an offsite location unless otherwise
indicated here: I am restricting my availability to the following locations:
*I understand that if I am engaging in volunteer activities for the Library System at a community event, festival or other offsite location, I
will need to provide my own transportation, pay my own transportation expenses, and pay any costs for parking.
*I understand that the Fulton County Library System does not provide medical coverage for volunteers.
*I understand that volunteers of the Fulton County Library System are not covered by Workers Compensation.
*I hereby agree, for myself, my heirs, assigns, executors, and administrators to release, discharge, and hold harmless Fulton County,
its Board of Commissioners, the Library System, the Library Board of Trustees, its employees, agents, and volunteers from any and all
liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my volunteer
service with the Library System, whether on Library System property, at an offsite event, pop-up libraries or similar sites in the
community, or traveling to and from such properties, events or sites, including but not limited to, bodily injury, personal injury, illness,
death, or property damage, incidental or consequential damages, punitive damages or special damages whether caused by the
negligent acts or omissions on the part of the persons and entities that are being released, or otherwise.
*I acknowledge and understand that I may be privy to confidential information while volunteering my services for the Library System,
and I agree to respect the confidential nature of all such information. Such confidential information includes, but is not limited to, patron
information and patron library records.
*I hereby grant unto the Library System all right, title, and interest in any and all photographic images and video or audio recordings that
are made of me by the Library System, or someone on its behalf, during my participation in volunteer activities, including, but not limited
to, any royalties, proceeds, or other benefits that are derived from such photographs or recordings.
*I give the Library System permission to check, at any time, the listed references and any other information in this application, including
any publicly available criminal history records. If qualified for volunteer service, I agree to abide by the rules and regulations of the
Library System, including complying with all applicable federal, state, and local laws.
*I agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Georgia, and shall be
governed by and interpreted in accordance with the laws of the State of Georgia. I agree that in the event that any provision of this
Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such provision shall not otherwise affect the
remaining provisions which shall continue to enforceable.
*I certify that all information given in this application is true and complete and acknowledge that if I am accepted as a volunteer, any
false or misleading information or concealment of any fact may result in the immediate termination of my services as a volunteer.
*This application and the waivers, acknowledgements and conferral of rights herein are effective during the time of any volunteer
activities. However, I understand and agree that if I cease volunteer activities for the Library System for a year or more, I will be
required to fill out and submit a new, updated application.
*By signing below, I acknowledge and represent that I am over 18 years of age, I have read and understand all of the foregoing, have
been advised that I should consult with my own legal counsel prior to signing this Waiver, hereby execute this Agreement voluntarily, as
my own free act and deed and that no oral representations, statements or inducements have been made by any of the Released
Parties in connection with this Agreement.
*For volunteers under 18 years of age, the undersigned parent or guardian hereby agrees that he/she is the parent or guardian of the
name minor, that the named minor is authorized to participate in volunteer activities with the Library System, and executes this Waiver
for and on his/her own behalf, and for and on behalf of the named minor.
*Volunteer Signature Parent/Guardian’s Signature (*Required if applicant is under 18)
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
