(252) 364-2995 info@thirdstreetec.org

Volunteer Application – Adult

For adults ages 18+ working with children, students or youth, and multi-visit volunteers.

In addition to filling out the form below, print the Background Consent Form, fill it out, and bring it to Third Street Education Center along with your driver’s license and $10 (or pay it online below)

Name & Number
complete if you checked "Other" above
Name & Number
Name & Number
Limited Liability Waiver Acknowledgement of the Center’s Faith-based perspective:  I acknowledge that the Third Street Education Center is a Christ-Centered (Christian Faith-Based) non-profit organization (you may ask for a copy of our statement of faith).  Third Street does not limit, nor discriminate, against anyone based on religious affiliation (see TSEC policy #Y003).  I give permission to the TSEC to speak to/about, discuss and/or teach the tenants of the Christian faith, including referencing the Bible as a part of some programming at the Center. I also acknowledge that I have received a copy of the TSEC Statement of Faith. I recognize that I do not have to participate in the faith-based components of TSEC programming. I agree to not teach or speak against the TSEC Statement of Faith in my capacity as a volunteer. Functions and Activities: I understand that participating in programs, service, recreation and other activities of Third Street Education Center is voluntary.  Prior to my participation in such activities, I acknowledge that there are certain risks associated with these activities, including, by way of example, physical injury due to activity-related accidents, and physical injury due to transportation-related accidents. Release of Liability: By signing this Permission and Waiver Form, I expressly warrant that this child named above or I, if I am a participant, am capable of withstanding both the physical and mental demands of these activities. I also expressly assume all risks to the child or me participating in the activities, whether such risks are known or unknown to me at this time. I further release the organization, its Board Members, leaders, employees, volunteers, property owners and agents from any claim that my child may have or that I may against them as a result of injury or illness incurred during the course of participation in these activities. This release of liability is also intended to cover all claims that members of the child’s or my family or estate, heirs, representatives or assigns may have against the organization, its Board members, leaders, employees, volunteers, property owners or agents. I further agree to indemnify and hold harmless the organization, its Board members, ministers, leaders, employees, volunteers, property owners or agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness of my child during such activities. I hereby authorize the staff at the Third Street Community to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release Third Street Education Center and its staff from any and all liability for any injury or illnesses incurred at any facility. This release of liability also gives permission to take photos and permission to release these photos in all types of publications. Our Statement of Faith: The Third Street Education Center is a faith-based/Christ-centered, non-profit organization. We believe the Bible to be the inspired, infallible, and authoritative word of God. We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. We believe that for the salvation of lost and sinful people, regeneration by the Holy Spirit is absolutely essential. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life. We believe in the spiritual unity of believers in our Lord Jesus Christ. We believe in the sanctity and dignity of all human life. We believe the God wonderfully and immutably creates each person as male or female, and that these two distinct, complementary genders together reflect the image and nature of God. We believe that God created marriage to be exclusively the union of one man and one woman, and that intimate sexual activity is to occur exclusively within that union. The Third Street Education Center’s Governing Board of Directors unanimously affirmed this statement of faith on the 12th Day of September, 2016.
I agree to complete a criminal background check online at a cost of $10. Furthermore, I authorize Third Street Education Center to inquire about my previous/present volunteer and work experience and to contact the named references. I understand that if I am accepted as a volunteer, any false statements, omissions, other misrepresentations, or negative feedback from references may result in my disqualification and/or immediate dismissal. Background Check: All individuals who will be working directly with children OR who will be serving on the premises while children are involved in programming are REQUIRED to submit to a background check to be conducted by a designated Third Street Education Center staff member. If you have had a background check within 6 months prior to completing this application, then you may waive this requirement by submitting that information. Third Street Education Center reserves this right to disqualify any person from volunteering whose background check returns information which we believe would cause an individual to be a detriment to the safety and success of Third Street Education Center.
Name & Zip Code