Thompson & Charter Scholars in Action: Day of Service Student Interest Form

This form is for students who are interested in volunteering for the Thompson & Charter Scholars in Action: Day of Service on Saturday, March 28, 2026. Below is a list of community organizations hosting service sites where volunteers may be placed. Please note that each site has a limited number of spots, and once a site is full, it will no longer be available to select.

Site assignments are made on a first-come, first-served basis, and placement depends on availability. We will do our best to accommodate preferences whenever possible.

Adopt-A-Highway
Community Action House
Friends of Grand Rapids Parks
GR Recycling Services
Grace's Table
Hispanic Center
Hope Association
ICCF Community Homes
Revive and Thrive
Ripple Effect
The Salvation Army
Treetops Collective
YWCA West

Please reach out to us at [email protected] if you have any questions.

Contact Information

First Name *

Preferred First Name

Last Name *

Pronouns

Email *

Phone *

Preferences

Do you have any dietary restrictions? *

Please list any dietary restrictions that you would like us to know about. *

Site Leader

Site Leaders are an important part of the Scholars in Action Day of Service, as they lead participants through volunteer activities and reflection activities. They also serve as an important point of contact for our site supervisors and our office in the case of any issues or emergencies. It is a great opportunity gain valuable leadership experience.

Would you be interested in becoming a site leader? *

Thank you for your interest in becoming a site leader! We will be in touch with more information soon!

Site Selection

Please select your top two service site preferences. These two choices will be prioritized when we assign placements. You can also choose an optional third preference, which helps us place you if your first two choices are full.

Select your first-choice service site: *

Select your second-choice service site: *

Select your third-choice service site:

Emergency Contact

Emergency Contact First Name *

Emergency Contact Last Name *

Relationship to Student/Volunteer *

Emergency Contact Phone Number *

Accessibility & Accommodations

We want every student volunteer to feel comfortable and fully able to participate. This section is optional and helps us match you with a site that meets your needs.

Do you have any access needs or preferences that would help us place you at a comfortable volunteer site? Examples: avoiding stairs, heavy lifting, or long walking distances.

Please describe what you need so we can ensure your site is a good fit:

Is there anything else you’d like us to know to help support your participation?

Liability Agreements

Are you under 18? *
Yes
No

COMPLETE IF UNDER 18 - An email will be sent to your parent or guardian via the email address you provide below. Your parent or guardian must use this email to approve your submission in order for your form to be approved. *

Photo Release: I give Grand Valley permission to use photos taken of me while volunteering for promotional purposes in Grand Valley newsletter, mailings, and/or website. Do you agree with the previous statement? *

Behavioral Contract

I understand that as a member of the GVSU community, I will conduct myself in a professional, safe manner during the program and will strive to represent well Grand Valley State University. I understand that this program is a privilege that will be immediately revoked if I violate any of the following standards:

I will travel with my group at all times and will not venture out by myself.
I will arrive on time to all designated travel departures, and I understand I may have to seek alternative transportation at my own expense if I am not present at departure time.
I will abide by all Grand Valley State University policies, conduct rules, and laws of the land at the service location. I understand that any violation of the above standards will cause an immediate trip back to GVSU at my expense.

Travel Release Statement Assumption of Risk and Release for Off Campus Activities
RELEASE EXECUTED by the undersigned to Grand Valley State University, One Campus Drive, Allendale, MI 49401 IN CONSIDERATION of being permitted to participate in a voluntary activity that will involve travel off campus grounds offered through Grand Valley State University, I the undersigned, in full recognition and appreciation of the dangers and hazards inherent to participating in this activity/program to which I may be exposed during my enrollment and/or participation in this activity/program, do hereby agree to assume all the risks and responsibilities surrounding my participation in this activity/program or any independent activities undertaken as an adjunct thereto; and further, I do for myself, my heirs, and personal representative(s) hereby defend, hold harmless, indemnify, and release, and forever discharge and all its officers, agents and employees from and against and all claims, demands, and actions, or causes of action, on account of damage to personal property, or personal injury, or death which may result from my participation, and which result from causes beyond the control of, and without the fault or negligence of Grand Valley State University, its officers, agents, or employees, during the period of my participation as aforesaid.

Do you agree to the above statements? *

Please sign below if you agree.

Page last modified January 28, 2026

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