Volunteer with the Colorectal Cancer Alliance

Thank you for your interest in volunteering with the Colorectal Cancer Alliance! Our volunteers are the heart of our mission, helping us support patients, survivors, caregivers, and champions across the country. Whether you’re lending a hand at an event, providing a warm welcome, or helping behind the scenes, you’re making a meaningful impact.

Before getting started, please take a moment to review and check yes below to continue to the Volunteer application. se

Volunteer Agreement & Liability Release

In consideration of my opportunity to volunteer with the Colorectal Cancer Alliance (“Organization”), I agree to the following:
I acknowledge that I have voluntarily applied to the Organization’s volunteer program. I understand that the scope of my volunteer relationship with the Organization is limited to a volunteer position and that:
No compensation is expected in return for services provided by me;
The Organization will not provide any benefits traditionally associated with employment, and I am responsible for my own insurance coverage in the event of illness or personal injury resulting from my services to the Organization.

I hereby release, discharge and agree to indemnify and hold the Organization harmless from, and waive on behalf of myself and my heirs and personal representatives any causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that any act may cause, or failure to act, of the Organization, or that may otherwise arise in any way in connection with any voluntary activities with, or for the Organization.

This release discharges the Organization from any liability or claim that I or my heirs, personal representatives, or minors I am responsible for may have concerning any bodily injury, illness, death, medical treatment, or property damage that may arise from or in connection with my volunteer activities. This liability waiver and release extends to the

Organization with its officers, directors, affiliates, employees and agents.
I agree that this release will be governed by District of Columbia law and that the exclusive venue for any dispute arising from this release will be a court of competent jurisdiction in Washington, DC.

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YesNo

Volunteer roles desired

Salutation

Legal First Name

Legal Last Name

Birthdate

Select from the calendar (MM/DD/YYYY)

Connection to Colorectal Cancer

Patient/ SurvivorCaregiver/ Family MemberHealthcare ProfessionalOther

Other

In a sentence or two, tell us what made you want to volunteer with the Alliance. (We are so glad you are here, by the way!)

Your contact info

Email Address

Mobile Phone

Mailing Street

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Demographics

Gender

Age

Ethnicity

Race

Code of Conduct

Considering my opportunity to serve as a trusted volunteer ambassador for the Colorectal Cancer Alliance, I agree to uphold the Organization’s standards with the utmost integrity.

All volunteers shall abide by and conform to these professional standards:

Volunteers shall act honestly and ethically while in the performance of their volunteer duties.
Volunteers shall treat all Alliance employees, volunteers, and community members with respect, courtesy, and dignity.
Volunteers shall not discriminate and shall be respectful of ethnic, national, and cultural differences.
Volunteers shall not harass, bully, or mistreat staff or other volunteers.
Volunteers shall obey all applicable local, state, and federal laws, while acting on behalf of the Alliance, including all laws and regulations that govern appropriate conduct in the workplace.
Volunteers shall deter wrongdoing and ensure accountability for adherence to the Code of Conduct.
Volunteers shall assist and cooperate with all Alliance investigations.
Volunteers shall report violations or suspected violations of the Code of Conduct. Violations should be reported to the assigned staff partner, their manager, or volunteer@ccalliance.org.

I understand that Privileged Information includes, but is not limited to, information about the Alliance’s Development program, its donors, event participants, constituents, and prospects, such as:

Names
Contact information (including phone number, email address, or mailing address)
Giving history
Funding areas of interests
Event participation history
Connection to colorectal cancer
Medical/patient information

As a volunteer representing the Alliance, I understand and agree to the following:

If the Alliance provides me with Privileged Information, it is in strict confidence to enable me to perform my functions as a volunteer.
I will never use Privileged Information for any purpose other than my volunteer service with the Alliance.
I will not share Privileged Information outside of Alliance's staff.
I will ensure the Privileged Information I receive is kept safe and secure from any unauthorized access, which includes preventing access to my computer, devices, email, or any other access point(s) that I control to Alliance's data.
I will never copy the Alliance’s data, whether electronically or on paper, except when it is necessary to address an envelope, write a letter, or write an email as part of my volunteer service.

I attest that I am over the age of eighteen, of sound mind, and have read, understood and agree to all of the terms herein.

Media Release Form

In consideration of my opportunity to be included in media produced and/or published by the Colorectal Cancer Alliance (Alliance), I grant the Alliance and its successors, licensees and assigns, unlimited rights to the video and photos I submit through this form (Material). These rights include the right, but not the obligation, to use, modify, and publish this Material in any markets and media (whether now known or hereafter developed), throughout the universe, in perpetuity.

I warrant and represent that I have the right to grant all rights granted herein and that the Alliance’s use of the Material as permitted herein will not infringe on the rights of any third party. I will indemnify and hold the Alliance and its successors, licensees and assigns, harmless from and against any and all claims, damages, liabilities, costs and expenses arising out of any breach of the foregoing warranty and/or any use of the Material. I further understand and agree that (a) I shall have no right to inspect or approve any portion of the Alliance’s resulting productions and/or media, (b) I shall not be entitled to any compensation or credit by virtue of this release and (c) in no event shall I have the right to seek or obtain injunctive or other equitable relief in connection with the Material or the development, production, distribution or exploitation of any future Alliance media that includes the Material.

By typing my name below and submitting this form, I attest that I am over the age of eighteen, of sound mind, and have read, understood and agree to these terms.

Name

Agreements

I am at least eighteen years of age.

Yes

I understand that volunteers may be photographed and/or submit photographs, video and other media content for educational, archival, and public relations purposes for Colorectal Cancer Alliance.

Yes

Yes, I want to receive email updates from the Colorectal Cancer Alliance.

Yes, I want to receive periodic text updates from the Colorectal Cancer Alliance. Message and data rates may apply. Text STOP to opt out, HELP for info. Privacy Policy.

Volunteer with the Colorectal Cancer Alliance

Volunteer Agreement & Liability Release

Volunteer Interest Form