Your full mailing address:
Volunteer position requested:
Areas of Interest Not Listed:
I give Catholic Social Services of Southern Nebraska (CSS), consent to record, videotape, photograph my image, and/or voice in relation to the mission of CSS. These items may be used in the following ways while volunteering at CSS:
I understand that no special compensation will be provided to me for the use of my image and that I may not be informed in advance of the specific use of my image. I further understand that I may opt-out of this practice upon providing written authorization to CSS.
Use of Volunteer Release Form approval: