Stronger Together Oxford

Email: *

Password: *

Confirm password: *

Phone Number: *

First Name: *

Last Name: *

Birthday Month: *

Mailing Address: *

Gender:

FEMALE

MALE

OTHER

Are you bilingual? :

YES

NO

Are you a Court Ordered Volunteer?:

Primary Volunteer Interest: *

Secondary Volunteer Interest: *

Are you volunteering through a company?: *

Volunteers who are receiving VTO (Volunteer Time Off) should select which company they work for. Volunteers who receive VTO are responsible for logging their own service hours and reporting to their company.

Tshirt Size: *

How do you want to track your hours?:

Mail my timesheet.

I will log hours online.

Volunteer Insurance: *

As a volunteer of Stronger Together Oxford, you are covered by Excess Accident Medical, Excess Volunteer liability and Excess Automobile Liability insurance. With this policy, the underwriter will pay benefits for death occurring as a result of a covered accident while performing volunteer duties. This coverage is automatic and free of cost to you as long as you are an active, enrolled volunteer with Stronger Together Oxford. We require the following information

YES

Emergency Contact Name: *

Emergency Contact Phone Number: *

Beneficiary Name: *

Beneficiary Relationship: *

Beneficiary Address: *

Beneficiary Phone: *

Photo Consent: *

I hereby grant the volunteer program permission to use my likeness in photograph(s)/video(s) in any and all of its publications or on the world wide web, whether now known or hereafter existing. I will make no monetary or other claim for the use of these photograph(s)/video(s).

YES

NO

Background Check: *

I authorize and give consent to obtain information regarding myself. This includes the following: The United States Department of Justice Dru Sjodin National Sex Offender Check

YES

Name Tag (Admin Only):

YES

NO

Stronger Together Oxford

Register to Log Hours

About