Canada Student Service Grant Request Form

Thank you for your interest in volunteering with Maccabi Canada as part of the Federal Government's NEW Canada Student Service Grant (CSSG). This grant will provide qualified post-secondary students and recent graduates with volunteer opportunities while helping not-for-profit organizations focus on their core missions during this challenging time with flexible solutions to address COVID-19 response during summer 2020. By volunteering, you’ll gain valuable experience and are eligible to obtain the Canada Student Service Grant – from $1,000 up to $5,000. For every 100 volunteer hours you will receive $1000 up to a maximum of 500 hours ($5000).

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* 1. Personal Information:

First Name:

Last Name:

Address:

City:

Province:

Postal Code:

Email:

Cell #:

University/College:

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* 2. Allow Maccabi Canada to contact you by email:

Yes

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* 3. Tell us about yourself. Your current interests, education, sports etc.

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* 4. Job Roles you are interested in applying for:

Community Sports Program Assistant

Digital Photo Cataloging

ESports Convener

Graphic Designer

Marketing/Social Media Campaign Support

Soccer Field Marshal

Small Business Initiative Coordinator

Videographer, Creator and Editor

Website Content Editor

Other.

RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS.

PLEASE READ THIS DOCUMENT CAREFULLY.

I, the noted above participant or the parent/legal guardian of the noted above participant, acknowledge and agree that in consideration of being permitted to participate in the Maccabi Games Program and related Activities arranged, organized, sponsored, conducted, authorized, staged and/or operated by Maccabi Canada:

1. I HEREBY ACKNOWLEDGE AND AGREE THAT:
• The Maccabi Games Program and related Activities may be dangerous, exposing myself and others to many risks and hazards, some of which are inherent in their very nature, others which result from human error and/or negligence on the part of the persons involved in arranging, organizing, sponsoring, authorizing, conducting, staging and/or operating the Maccabi Games Program and related Activities;
• The Maccabi Games Program or related activities (including travelling to or from such Program or Activity) can be an extreme test of a person’s physical, emotional and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to: actions of other people including, participants, volunteers, spectators, coaches, event officials, event monitors and/or producers of the event; lack of hydration, weather, and/or other natural conditions. I hereby assume all of the risks of participating in any Maccabi Program or Activity;
• I certify that I am physically, emotionally and mentally fit and have not been advised otherwise by a qualified medical professional;
• I willingly agree to comply with the customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest Maccabi Canada representative immediately;
• I understand that neither Maccabi Canada nor any of its directors, officers, employees, volunteers, sponsors, independent contractors or agents assume any responsibility whatsoever for my safety during the course travelling to and from, or my preparation for or participation in any Maccabi Canada Program or Activity;
• I understand that Maccabi Canada does not undertake to provide health, accident, disability, hospitalization, personal property, or other insurance for participants in our programs or activities. I affirm that I have appropriate medical insurance in the event medical attention is needed for me;
• I understand that I may be photographed and agree to allow my photo, video, or film likeness to be used for any legitimate purpose by Maccabi Canada;
• I hereby consent to receive emergency medical treatment that may be deemed advisable by a medical professional in the event of injury, accident, and/or illness during any Maccabi Program or Activity;
• I nevertheless freely and voluntarily assume all the aforesaid risks and hazards, and that, accordingly, including traveling to and from, my preparation for, and participation in any Maccabi Programs and Activities shall be entirely at my own risk;

2. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby to the greatest extent permitted by law, RELEASE, HOLD HARMLESS AND INDEMNIFY Maccabi Canada and its directors, officers, employees, volunteers, sponsors, independent contractors and agents (collectively “the Released Parties”) from all liability, and all recourses, proceedings, claims, and causes of action of any kind whatsoever, present or in the future, in respect of any and all personal injuries or property losses which I may suffer arising out of or connected with travelling to and from or my preparation for, or participation in Maccabi Canada Programs or Activities notwithstanding that such injuries or losses may have been caused solely or partly by the active or passive negligence or breach of duty of Maccabi Canada or any of their directors, officers, employees, volunteers, sponsors, independent contractors or agents. I also recognize and agree that the Released Parties assume no responsibility for any liability, damage, or injury that I might sustain due to the intentional, unintentional or negligent acts or omissions of any other person or organization.

3. Governing Law This Agreement shall be construed, interpreted and enforced in accordance with the laws of the Province of Ontario, Canada.

4. Severability If any provision of this Agreement or its application to any Party or circumstance is determined by a court of competent jurisdiction to be illegal, invalid or unenforceable, it will be ineffective only to the extent of its illegality, invalidity or unenforceability without affecting the validity or the enforceability of the remaining provisions of this Agreement and without affecting its application to other parties or circumstances.

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* 5. Acknowledge of Understanding:
I, the named above, have read this Release Waiver of Liability, Assumption of Risk, and Indemnity Agreement, and fully understand its terms and conditions. This is to certify that I do consent and agree to the release as provided above, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my involvement or participation in these programs or activities.

Participants under the age of 19, and require Parent/Legal Guardian consent, please proceed to the next section.

Athlete Signature:

Date (mm/dd/yyyy):

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* 6. For Participants of Minority Age
(Under 19 years of age at time of registration)

This is to certify that I as a parent/legal guardian with legal responsibilities for this participant, do consent and agree to his/her release as provided above, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Release from any and all liabilities incident to my minor child's involvement or participation in these programs or activities.

Parent/Legal Guardian Name:

Home Number:

Cell Number:

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* 7. Date signed

Date / Time

Date

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* 8. Please upload your resume

Name your resume file: FirstNameLastName

PDF, DOC, DOCX, JPG, JPEG file types only.

Choose File

Thank you for your interest in volunteering with Maccabi Canada. A Maccabi representative will contact you shortly.