VOLUNTEER REGISTRATION FORM



I. PERSONAL INFORMATION
II. MEDICAL HISTORY
III. FAMILY BACKGROUND
IV. EDUCATIONAL BACKGROUND
V. TALENTS AND SKILLS
VI. SOCIO-CIVIC, CULTURAL & RELIGIOUS INVOLVEMENTS
VII. WORK EXPERIENCE
VIII. RED CROSS EXPERIENCE
IX. REFERENCES(Kindly give us at least 2 persons that could recommend you.)
X. SIGN UP AGREEMENT

Sign me up! By checking this box below, I agree I want to receive news, offers, tips, and other promotional materials from and about the Philippines Red Cross, including by email, phone, and mail to the contact information I am submitting consent to the Philippine Red Cross, its affiliates, and service providers processing my personal data for these purposes, and as described in the Privacy Policy. I understand that I can withdraw my consent at any time.

XI. VOLUNTEER WAVER

I am aware that by joining the volunteering activities with Philippine Red Cross, I am expected to conduct myself properly and be responsible for my actions and I am obliged to follow all the rules and regulations implemented by the Philippines Red Cross. I also agree to serve on a voluntary basis, without remuneration, and to hold the PRC free from any and all claims which may arise in connection with my volunteer work with the Red Cross.

I hereby therefore release, waive, discharge, hold harmless and indemnify Philippine Red Cross, its officers, employees, faculties, board members, and agents from all liability to myself for any loss or damage, and any claim or demands therefore on the account of injury to my person or property due to my own negligence, imprudent demeanor, reckless conduct and/or irresponsible actions.

Nonetheless, I appeal to & trust that PRC Volunteer supervisors, managers and supervising staff on their part will exercise the due diligence and prudence required for the over-all conduct, safety and security of my well-being to the best of their abilities at all tunes. This diligence would include oral and written instructions, whether given before or during the activity that if followed, would ensure my general safety.

This waiver is made freely and willingly without reservation whatsoever and do so with full knowledge of the possible risks involved.







XII. CERTIFICATION & CONFIDENTIALITY
Please read the following carefully before signing this form
To be filled up by the Volunteer Service Office and Staff
REFERENCE CHECK

I hereby certify that the information provided by me in this registration form is true, correct and complete to the best of my knowledge. I further certify that I have and will answer all questions to the best of my ability and have not and will not withhold any information that would unfavorably affect my volunteering application. I understand that the information contained on my application will be verified by Philippine Red Cross and that it may require a reference check and/or criminal check and hereby authorize such a check to be conducted. As well as giving consent to use the given information for the screening & selection process with the guidance of the Data Privacy Act (RA10173). I hereby agree to abide by all the Seven (7) Fundamental Principles of the Intemational Red Cross & Red Crescent Movement, policies and guidelines of the organization and the rules and regulations of the training program. As well as giving consent to use the given information for training purposes with the guidance of the Data Privacy Act (RA10173), I understand that false information, misrepresentations or omissions may be a justification for my immediate dismissal from the volunteer program.

OVER-ALL EVALUATION FINAL DECISION