FDCDC Volunteer Registration Form



Please complete the questions below to register as a volunteer.

* First Name
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* Last Name
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Maiden Name
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Date of Birth
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Today's Date
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Mailing Address & Contact Info

* Address
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* Street Address
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* City
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* State
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* Zip Code
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* Preferred Phone Number
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* Phone Type
* Preferred Email
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* Please Confirm
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Business Info

Current Employer (if employed)
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Your Position Title
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FDCDC Volunteer Information

* I want to volunteer to:
* I am interested in:

FDCDC Volunteer Data and Photo Agreement



All Volunteers agree on the importance of protecting the privacy and security of the data they keep for themselves or have access to via Fred Douglass Community Development Corporation. This data may include sensitive data, which is a class of data that may be protected or restricted by law or contractual agreement, and/or prohibited from disclosure as a matter of course pursuant to FDCDC practice or policy. I understand my responsibility as a FDCDC volunteer in protecting the confidentiality of FDCDC data and information I receive and agree that all data will be used solely for the purposes as stated in each request or event. I agree to abide by these requirements and deal discreetly with confidential records and information which I have been or may become aware of in the course of volunteering with FDCDC. I agree to comply with all state and federal laws pertaining to the use of this information and understand that inappropriate disclosure of this confidential information will be dealt with in accordance with the regular due process of the FDCDC office. I will respect the right to privacy for FDCDC and avoid disseminating confidential information. If/When I no longer require access to the FDCDC Data, I will return all such data in my possession to FDCDC, or in the alternative shall certify all data has been permanently erased or destroyed.


I also agree to have my name, likeness, photograph or other visual representation, as well as any oral or written comments or statements made concerning FDCDC or its programs in any print, audio, visual or electronic medium, at the sole discretion of the Corporation.


This agreement will stand for all future volunteer events. I would like to be a FDCDC volunteer and agree to be contacted by FDCDC’s board regarding volunteering opportunities.

* Please check if you have read and agree to the statements above.