Volunteering

Light for Life Initiatives Inc.

California Nonprofit Public Benefit Corporation
41669 Gifford Street, Fremont, CA 94538
lightforlifeinc@gmail.com · EIN 99-2922135

Step 1 of 2

Volunteer information and disclosure form

Complete, sign, and return this together with the documents listed in section 5. We will then send you the service confirmation letter to sign. Nothing you type here is sent anywhere — this page runs entirely in your browser, so print it or save it as a PDF when you are done.

1 · Your details

2 · Background

3 · Eligibility to volunteer

Everyone is welcome to volunteer with us regardless of citizenship or immigration status. We ask only so that we can make sure the role fits any conditions that apply to you.

Which best describes you?

If you hold a document that authorises or conditions your activities in the U.S. — for example an EAD, I-20, DS-2019, or I-797 approval notice — give its details. If none of this applies to you, leave it blank.

4 · Disclosures

Answer each question. If you answer yes to any, add the details below. A yes answer does not disqualify you — we simply need it on record.

a. Have you ever received money, a grant, a scholarship, or any other assistance from Light for Life Initiatives Inc.?

b. Are you related to, or a member of the household of, any officer, director or major donor of the organization?

c. Do you expect to receive any payment, benefit, or future paid employment in return for this volunteer service?

d. Does your immigration status place any condition or restriction on the activities you may perform?

5 · Please attach

Copies are kept confidentially in our volunteer file and are used only to confirm your identity and any conditions on your role.

6 · What I am confirming

  • I am offering this service voluntarily, without pay and without expecting pay, a stipend, a benefit, or future paid employment.
  • I set my own schedule and choose the hours I work.
  • I will keep beneficiary and donor information strictly confidential, use it only for my assigned tasks, and never store it on personal devices or personal cloud accounts.
  • Any code, documentation or other work I create for the organization belongs to the organization.
  • If my immigration status places any condition on my activities, I am responsible for confirming that this volunteer service is consistent with it, and for any reporting my status requires.
  • The answers I have given above are true and complete.

Signature

Date

When you are finished, print this page or save it as a PDF, then email it to lightforlifeinc@gmail.com with your attachments.