Livingston CARES 2008 Work Trip Application Forms

 

 

 

 

 

We are pleased that you are considering or have decided to participate in one of the 2008 Livingston CARES work trips to Biloxi, Mississippi. You will be continuing the Hurricane Katrina reconstruction work that over 200 volunteers started during our seven previous trips to Harrison County, Mississippi.  The application packet includes the documents that are required by the parties involved in making these trips possible. We are purchasing insurance through HOPE Unites and they use a standard form for domestic and international travel.  The Salvation Army in Biloxi will be providing our accommodations and meals.  Each party has its own separate legal documents that are required in order to provide the service to trip participants and are listed below. You can download each document separately in either a PDF or MS Word format, or you can download the entire packet in a single PDF.

You will need to have Adobe's Acrobat Reader installed on your computer in order to open the PDF files. You can download the free application here.

Click here for a single PDF file of all the forms.

1. Livingston CARES Release and Waiver of Liability Form		MS Word File		PDF
2. Livingston CARES Medical Information Form..		MS Word File		PDF
3. Livingston CARES Emergency Information Form.		MS Word File		PDF
4. HOPE Unites Insurance/Registration Application Form		MS Word File		PDF
5. HOPE Unites Liability Release Form.		MS Word File		PDF
6. Salvation Army Volunteer Release and Waiver of Liability Form		MS Word File		PDF

Instructions: You will need to complete each of the forms.  The Livingston CARES Release and Waiver of Liability Form is the only one that requires the witness of a Notary Public. Notarization of your document may be completed by the staff in the Federal Credit Union located just outside the MacVittie mail room.  The other forms may be signed by any witness over 18 years of age. 
You should photocopy your Medical Insurance ID Card and the front of your driver’s license or another photo ID on the front page of your Medical Information Form.

Completed applications must be returned to either Tom Matthews or Kay Fly in the Center for Community in MacVittie College Union Room 353. Seats will be filled on all trips on a first-come, first-serve basis.

You will need to make a check payable to Livingston CARES, Inc. for the full amount by March 15, 2008 for the May  trip ($350.00 for SUNY Geneseo Students and $400.00  for non-students). Please note that all trip expenses are tax deductible under IRS regulations.

All trip participants will also be required to attend a training sessions that will be conducted by Livingston CARES in late April or early May. Please contact the trip coordinator, Dan Dimpfl, at ddimpfl@rochester.rr.com  or Tom Matthews by phone at 245-5957 or by mail at Matthews@geneseo.edu or Kay Fly by phone at 245-5893 or by email at fly@geneseo.edu if you need any information or assistance.