Volunteer application for disaster response

In Broward, our United Way is Broward County's Office of Emergency Management's official volunteer and donations arm before, during and after a disaster. If you are interested in becoming a disaster volunteer, please complete the form below. If the County or a United Way partner agency needs volunteers before or after a disaster, you will be contacted.

Examples of volunteer roles include but are not limited to: sorting donations, palletizing items, feeding, handing out necessities, chopping trees, serving at shelters, making care packages, distributing items, shuttering, etc.

Assignments may vary based on experience.

 

Card Type:

MasterCard
Visa
American Express
Discover Card

Card Number:

Expiry Date:

Name On Card:

 May receive text message updates
 Languages you speak:
 Are you available to volunteer in:
 Have you participated in the following trainings?

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 I HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS United Way of Broward County, ITS AFFILIATES, AND THEIR DIRECTORS, OFFICERS, SUCCESSORS AND DESIGNS, AND THE ORGANIZERS, SPONSORS AND SUPERVISORS OF ALL ACTIVITIES (PARTIES), FROM ANY AND ALL CLAIMS, LOSSES, DAMAGES, OR LIABILITY IN CONNECTION WITH ANY INJURY OR CLAIM OF DAMAGES INCLUDING ATTORNEY FEES. I UNDERSTAND AND ACKNOWLEDGE THAT THIS RELEASE DISCHARGES PARTIES FROM ANY LIABILITY OR CLAIM I MAY HAVE WITH RESPECT TO BODILY INJURY, PERSONAL INJURY OR PROPERTY DAMAGES THAT MAY OCCUR WHILE I AM PROVIDING VOLUNTEER SERVICES IN CONNECTION WITH United Way of Broward County.
 FURTHERMORE, I UNDERSTAND THAT PARTIES DO NOT ASSUME ANY RESPONSIBILITIES OR OBLIGATION TO PROVIDE ME WITH FINANCIAL ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH OR DISABILITY BENEFITS IN THE EVENT OF ANY INJURY, ILLNESS OR DAMAGE TO MY PROPERTY. AS A VOLUNTEER, I EXPRESSLY AGREE THAT THIS RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE STATE OF FLORIDA. AND I AGREE THAT IN THE EVENT THAT ANY CLAUSE OF THIS RELEASE IS DEEMED INVALID, THE ENFORCEABILITY OF THE REMAINING PROVISIONS OF THIS RELEASE SHALL NOT BE AFFECTED. I GRANT AND CONVEY TO UNITED WAY ALL RIGHT AND INTEREST OF ALL PHOTOGRAPH, IMAGES, VIDEO OR AUDIO RECORDINGS OF ME OR MY LIKENESS MADE BY UNITED WAY IN CONNECTION WITH MY PROVIDING VOLUNTEER SERVICES TO UNITED WAY.
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