Livingston CARES 2009 Work Trip Application Forms
Instruction Sheet

 

 

 

Please retain this sheet for your records.

We are pleased that you are interested in participating in one of the 2009 Livingston CARES work trips to Biloxi, Mississippi. You will be continuing the Hurricane Katrina reconstruction work that over 300 volunteers started during our eleven previous trips to Harrison County, Mississippi. To learn more about our previous work, see our website at http://livingstoncares.geneseo.edu

This application packet includes the documents required by the parties involved in making these trips possible. The first three forms are required by Livingston CARES. The Camp Victor Ministries run by the Lutheran-Episcopal Services in Mississippi (LESM) in Ocean Springs, Mississippi will be providing our accommodations and meals. Volunteers will be working at sites in East Biloxi run by The East Biloxi Coordination, Relief & Redevelopment Agency (EBCRRA). Each party has its own separate legal documents that are required in order to provide the service to trip participants.

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. Camp Victor Medical Authorization Form		MS Word File		PDF
5. LESM Assumption of Risk and Release of Liability Form		MS Word File		PDF
6. EBCRRA Release and Waiver of Liability Form		MS Word File		PDF
7. EBCRRA Individual Volunteer Skill Application		MS Word File		PDF
8. HOPE Unites Insurance Application		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 must photocopy your Medical Insurance ID Card and the front of your driver’s license or another photo ID and attach to the front page of your Medical Information Form.

Deadlines: The deadline is October 24 for completed applications for the January, February and March trips. Paper work and checks must be returned to Tom Matthews, Kay Fly or Elise Arneson 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 although twenty percent of the seats will be held for new participants until October 24. The deadline is March 13 for completed applications for the May trip.

Payment: You will need to make a check payable to Livingston CARES for the full amount for the January trip ($400.00 for SUNY Geneseo students and $500.00 for non-students), or a deposit of $100.00 for the March trip with the balance due by February 1.

Participants in the February trip will receive separate payment instructions. Please note that all trip expenses are tax deductible under IRS regulations. Limited financial assistance is available by picking up an application from Elise Arneson, Kay Fly, or Tom Matthews in Room 353 in the College Union.

All trip participants will also be required to attend a training session that will be conducted by Livingston CARES in late November or early December.

Contact Information:
Tom Matthews by phone at 245-5957 or by e-mail at Matthews@geneseo.edu
Kay Fly by phone at 245-5893 or by email at fly@geneseo.edu
Elise Arneson by phone at 245-5139 or email at arneson@geneseo.edu if you need any information or assistance.

Presentation:
If your community, church, civic, or social group would like a presentation about Livingston CARES and our trips, please contact
Elise Arneson at 245-5139 or arneson@geneseo.edu. We are interested in working with you!