FORMS | Love...No Ego

Privacy: The Love No Ego Foundation fully protects your privacy and does not share any of your information with any other parties not approved by you. For full terms of service, please Privacy Policy and TOS at (the footer). You can also request a copy by contacting us via email .

FORMS

1) Service Agreement

2) Income Based Form

3) Waiver

4) Volunteer Application Form

5) Background Check Form

6) Featured Youth of the Month Questionnaire

7) Guardian Release of Information

8) Guest Form

1) Service Agreement

The LoveNoEgo Foundation & Mr. Love...No Ego
Deposits are 50% refundable and 100% refundable if fault of LNE/Mr. LNE
Donations/Payments are made HERE (www.lovenoego.org/donate)

First Name

Last Name

Company (if applicable)

Title (if applicable)

Phone

Address

Service to be rendered. If more than one, please describe in the "goals for this service" box below.

Who is this service for?

Age(s)

Any Allergies/Medical Conditions? If yes, please list and explain.

What are your goals for this service? Please be as specific and real as you need to be.

Service Charge: If there has been a predetermine fee for your service, list it here. Otherwise, write N/A. We will then confirm with you.

The Love No Ego Foundation and Mr Love No Ego sometimes uses photos/videos and other potential media for advertising and promotion via our website and our social media outlets. Check “Yes” or “No” to “Media Consent if you give us the consent or not, to take and or use photos.

Your Signature

I agree to the terms & conditions

2) Income Based Form

Re: Income-Based Driven Form:

The Love No Ego Foundation is a non-profit charitable organization that provides real-world development for the youth and young adults ages 10-24, utilizing its principles, Love over Ego, Love Over Fear, & Communication Over Conflict, helping them to overcome challenges, find purpose, and live their true greatness.

When offering services, in order to be of benefit and address our clients’ needs, we offer services based on financial need and circumstances. To determine if you qualify for an adjustment in cost, please complete this form entirely.

Total Monthly Family Income, All Sources

First Name

Last Name

Address

Phone

Family Size?

Your Monthly Income: (wages, salaries, tips, etc.) $

Spouse’s or Partner’s Income: $

Other Income: (You and or Your Spouse’s or Partner’s, Investments, Trusts, Alimony, Unemployment, Disability, Child Support, Social Security, Gifts, etc.) $

Total Household Expenses Includging Medical

Today's Date

Your Signature

3) Waiver

I hereby state that I, and or my child wish to participate in courses and/or activities offered by The Love No Ego Foundation, Inc., a non-profit corporation. I recognize any activity (indoor and or outdoor) may involve certain dangers, including but not limited to the hazards of physical activity, exercise, traveling in mountainous terrain, accidents or illness in remote places, forces of nature, and the actions of participants and other persons. I further understand and agree that without some program providing protection of its assets and its leaders, The Love No Ego Foundation, Inc., would not be able to offer its courses and activities.

I understand that in this course or activity, I MAY BE PHOTOGRAPHED. I agree to allow me and or my child’s/children’s photo, to be used for any legitimate purpose by The Love No Ego Foundation, Inc.,. If you do not wish to be in any photograph/video simply let it be known by expressing it vocally to a team member, and or selecting "no" below in the media consent section.

In consideration of and as part payment for the right to participate in the activities offered by The Love No Ego Foundation, Inc., I agree to RELEASE, HOLD HARMLESS AND INDEMNIFY The Love No Ego Foundation, Inc., and its members from any and all liability, claims and causes of action arising out of or in any way connected with me and or my child’s/children’s participation, or the participation of any minor that I am signing on behalf of, in any activities offered by The Love No Ego Foundation, Inc. This includes but is not limited to all liability claims and causes of action in any way connected to property owned or leased by The Love No Ego Foundation, Inc., or the actions or inactions of any The Love No Ego Foundation, Inc., employees, members, agents, and or volunteers.

I personally assume all risks in connection with these activities. If I am signing on behalf of a minor, I further agree to HOLD HARMLESS AND INDEMNIFY The Love No Ego Foundation, Inc., and its members from all liability, claims and causes of action which the minor may have arising from the minor’s participation in activities. The terms of this agreement shall serve as a release and indemnity agreement for my heirs, personal representatives, and for all members of my family, including any minors.

THIS IS YOUR AGREEMENT. I have read this release and indemnity agreement and have fully informed myself of its contents before I have either signed and or agreed to it.

First Name

Last Name

Age

Phone

Today's Date

Choose program(s) and or event(s) you/your child are participating

Media Consent

Your Electronic Signature

I agree to the terms & conditions

4) Volunteer Application Form

RE: Staff, Volunteer, Intern Agreement Form

Please take your time to read and complete the form in its entirety. Thank You!

This document is not intended to be a legally binding contract between us and it may be cancelled at any time by either us or you.

You are a staff, volunteer, independent contractor, or intern for the position at the Love No Ego Foundation, Inc,. This means that, if you accept the role, you perform all purposeful acts on the basis listed in your copy of the organization structure/award letter/official notice and you will or will not receive remuneration or payment for your work, other than reasonable reimbursement of expenses with approval (see more below). If you are being paid, the related details are noted at the end of this agreement form. If you are receiving this agreement, it (the amount) should already have been agreed upon.

What you can expect: The Love No Ego Foundation values its staff, volunteers, and interns, and we will endeavor to provide you with:

Written position description so you understand your role and the tasks you are authorized to perform
A full induction, hands-on orientation and any training necessary for the role
A safe environment in which to perform your role
Respect for your privacy, including keeping your private information confidential
A director/supervisor, so that you have the opportunity to ask questions and get feedback
Reimbursement for your reasonable expenses
Insurance to cover you for the purposeful acts you are authorized to perform

What the Love No Ego Foundation asks of You?

ETHICS. We ask that you:

Support the Love No Ego Foundation and its mission, principles, and vision.
Participate in all relevant induction and training programs
Only undertake duties you are authorized to perform and always operate under the direction and supervision of nominated staff and obey reasonable directions and instructions
Understand and comply with the foundation’s policies and procedures including policies, for example: equal opportunity, health and safety, privacy and confidentiality policies. Full copy of the Foundation’s policies and procedures are available at (located in the footer of every page).
Notify your director/supervisor or another member of staff of any health and safety issues or potentially hazardous situations that may pose a risk to you or others and report any accidents or incidents relating to staff, volunteers, or the workplace.
Behave appropriately and courteously to all staff, clients and the public in the course of your role
Use any property or equipment given to you in your role safely and only for purpose of the role and return it to the foundation when you finish your volunteer role
Let us know if you wish to change the nature of your contribution (e.g. hours, role) to the Love No Ego Foundation at any time
Comply with the law at all times, and be open and honest in your dealings with us and let us know if we can improve our program and the support that you receive.

Contact Person(s):

Your contact person at the Love No Ego Foundation will be provided to you. If you have any questions or concerns about your role, your health and safety, or if there is any assistance you need to help you undertake your role, please contact him or her.

Role description and details include, but not limited to:

Your role description and purposeful acts are stated in your organizational structure copy, and should have been given to you beforehand or along with this agreement. Or this may take place in person with a LNE officer.

For strictly volunteers:

Assist and or Table at Community and Organizational Events and Workshops
Community Clean-up of The Love No Ego Foundation Roadway
Recruitment of Other Volunteers
Connect With Other Organizations, Individuals, or Groups with Similar Missions
Perform Administrative and Social Media Work
Create, Help Create, and or Lead Programs and Events

It is therefore important that you only perform the tasks in the role description and as instructed by the foundation. To be covered by our policies, procedures, and insurance, it is also important that you are not affected by drugs or alcohol when you are volunteering.

Volunteer health and safety:

Your safety is a priority. We always need to consider work health and safety issues. If there is ever any reason during your purposeful work that you do not feel safe, please remove yourself from the unsafe situation immediately. The Love No Ego Foundation has a duty of care to minimize risks to everyone affected by its conduct (including paid staff, interns, and volunteers).

It also means that as a volunteer,

take reasonable care for the health and safety of others,
comply with any reasonable instruction by the Love No Ego Foundation,
let us know of any concerns you may have about safety and/or fitness in undertaking your role, and to cooperate with any reasonable policies and procedures of the foundation.

Please do not hesitate to talk to your coordination or director at any time if you have any health and safety concerns.

Induction and training required before you start in the volunteer role:

The Love No Ego Foundation is committed to providing suitable training in support of our health and safety, discrimination and privacy policies. For this reason it is our policy that all volunteers undertake a basic induction and/or training prior to commencing their volunteer position. Your Volunteer Coordinator (s) will schedule this with you.

Information we require before you can start in the volunteer role:

Before you can commence the volunteer role, the Love No Ego Foundation will conduct a background check on you, in accordance with Intellicorp.

Volunteer expenses and other benefits as a volunteer:

The Love No Ego Foundation will provide you with reimbursement for any reasonable out-of-pocket expenses that you incur when performing authorized tasks associated with your role. We do this to ensure that you are not financially disadvantaged as a result of your position with us. These payments are not remuneration or wages. You might need prior approval and will always need to produce receipts. We may sometimes provide you with other benefits as part of your volunteering role (examples include training, free food, accommodation, event entry, clothing or equipment). Where this occurs, it is on a gratuitous basis at the discretion of the Love No Ego Foundation and is not payment in lieu of salary.

Insurance:

We are committed to providing adequate insurance cover for staff, interns, and volunteers whilst carrying out their purposeful acts that have been approved and authorized by us. The Love No Ego Foundation has insurance with State Farm. Please let us know of any concerns and occurrences at your earliest and most immediate convenience that occur during your time with us.

NOTE: Completing this application does not guarantee or solidifies your volunteerism, employment, board role, and or position stated. All potential team members go through a 30-day probational period before receiving final notice of acceptance and onboarding.

First Name

Last Name

Phone

Address

Age

Select Your Role

Pay Percentage Agree Upon

Care to Explain Any Volunteer/Work Related Experience?

Please List Any Health Issues

A few words about you

Upload File

Upload Resume/Bio

Upload supported file (Max 15MB)

Date

Your Signature

I agree to the terms & conditions

5) Background Check Form

DISCLOSURE REGARDING BACKGROUND CHECK

The Love No Ego Foundation, Inc, may obtain information about you from a third party consumer reporting agency for the purpose (s) of Volunteering, Board, Staff, and or Independent Contractor Positions. Thus, you may be the subject of a “consumer report” which may include

information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain information regarding your criminal history, social security verification, motor vehicle records (“driving records”). You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you and to request a copy of your report from The Love No Ego Foundation, Inc. These searches will be conducted by IntelliCorp, 3000 Auburn Drive, Suite 410, Beachwood, Ohio 44122; Tel. No. 1.888.946.8355; www.intellicorp.net.

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK

I acknowledge receipt of the separate stand alone Disclosure and certify that I have read and understand it and this authorization. I hereby authorize the obtaining of “consume reports” and/or “investigative consumer reports” by The Love No Ego Foundation, Inc., at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information

service bureau, employer, or insurance company to furnish any and all background information requested by IntelliCorp Records, Inc., 3000 Auburn Drive, Suite 410, Beachwood, Ohio 44122; Tel. No. 1.888.946.8355; www.intellicorp.net.

Complete authorization below for The Love No Ego Foundation to contact, through IntelliCorp Records, Inc., my current employer for Employment and Reference Verifications. (Checking “I do” will authorize inquiries to the Human Resources Department and to any listed supervisors.)

I also consent to have any legally required notices sent electronically.

First Name

Last Name

Middle Name

Date of Birth

Other Names Used (including maiden name)

Current Full Address

Dates Lived Here

Social Security Number

Driver's License #

Driver's License State

Your Email - we will used for correspondence

Your Signature

I agree to this search

6) Featured Youth of the Month Questionnaire

CONGRATULATIONS ! You are being recognized!

You fit our “ Courage to be You ” motto, and you practice living our three principles, Love over ego, Love over fear, and Communication over conflict. You will be featured here on our site for 1 month on this page here:

Feel free to share this good news!

● The Love No Ego Foundation recognizes the need to ensure the welfare and safety of all young people taking part in any activity associated with our organization. In accordance with our child protection policy we will not permit photographs, video or other images and the information of young people to be taken or used without the consent of the parents/carers and children. As your child will be taking part in The Featured Youth of the Month program, we would like to ask for your consent to use submitted and taken photographs, videos, links, and information relating to your child. It is likely that this information will be shared in our monthly newsletter and across our social media platforms as well. The Love No Ego Foundation takes all steps to ensure these images and information are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform us immediately. At the end of this form, please agree to these terms by checking the appropriate box. Thank you.

Student! Please complete the questionnaire below to be featured.

First Name

Last Name

Any Social Media Handles to Share?

List Your Achievements, Activities, and Most Important Goals Here.

What Does Love...No Ego Mean to You?

Positive Character Statement From Teacher, Coach, or Adult

T-Shirt Size

Upload Photo 1

Upload supported file (Max 15MB)

Today's Date:

Upload Photo 2

Upload supported file (Max 15MB)

Your Signature - Parent's if youth is under 18.

Upload Photo 3

Upload supported file (Max 15MB)

Upload Video

Upload supported file (Max 15MB)

I agree to the terms & conditions

Thanks for submitting!

7) Guardian Release of Information

Here at The Love No Egp Foundation, we aim for transparent communication between ourselves, the clients we serve, their parents or guardians, and the administrative team of the client’s respective school. We’ve found this to be super-beneficial, particularly for the client, aka the mentee. It promotes the client’s accountability and overall progress while improving upon overall communication and understanding for all parties involved. Again, we believe that this is

for the best interest, welfare, and empowerment for our youth client. This form will release information from your child’s school to us, particularly (when requested on our behalf) grades and any behavioral issues, patterns, and or concerns to his or her mentor. This form will also allow your child’s mentor (listed below) to accompany your child for a scheduled school lunch visit. This is when your child’s mentor visits your child (the mentee) at

school during school lunch hours and eats lunch with him or her. This is done with the school’s approval.

Please complete the form below. We will send you a copy and the school for confirmation.

Student's First Name

Student's Last Name

Participating School

Participating School Address

Mentor's First Name

Mentor's Last Name

Release Information Approved

Lunch Visitation Approved

Parent/Guardian Full Name

Today's Date

Parent/Guardian Signature

I agree to the terms & conditions

Thanks for submitting!

8) Guest Form

Thank you for being a guest, sharing your story, and helping us to inspire our youth, and or make a difference! This will be a short, recorded 5-7 minute video conducted via zoom. After you complete the guest form below, you will received the zoom link invitation.

Care to Donate to this cause? Not Required.

First Name

Last Name

Phone

Current Career(s)

Your Website

Any Social Media Handles?

Date of Interview

Upload Pic 1 (not required)

Upload Pic 1 of You

Upload supported file (Max 15MB)

Upload Pic 2 (not required)

Upload Pic 2 of You

Upload supported file (Max 15MB)

Today's Date

Which Show/Channel?

Any Accolades You Wish to Share?

Your One True Message to Our Youth? (For The Truth For Our Youth Channel Only)

How Can We Be Better As Humans (For LNE Positivity TV Only)

I agree to the terms & conditions

Thanks for submitting!

Spring 2022 - LNE Community Park!

1) Service Agreement

2) Income Based Form

3) Waiver

4) Volunteer Application Form

​

RE: Staff, Volunteer, Intern Agreement Form

Please take your time to read and complete the form in its entirety. Thank You!

This document is not intended to be a legally binding contract between us and it may be cancelled at any time by either us or you.

What you can expect: The Love No Ego Foundation values its staff, volunteers, and interns, and we will endeavor to provide you with:

Written position description so you understand your role and the tasks you are authorized to perform

A full induction, hands-on orientation and any training necessary for the role

A safe environment in which to perform your role

Respect for your privacy, including keeping your private information confidential

A director/supervisor, so that you have the opportunity to ask questions and get feedback

Reimbursement for your reasonable expenses

Insurance to cover you for the purposeful acts you are authorized to perform

What the Love No Ego Foundation asks of You?

ETHICS. We ask that you:

Support the Love No Ego Foundation and its mission, principles, and vision.

Participate in all relevant induction and training programs

Only undertake duties you are authorized to perform and always operate under the direction and supervision of nominated staff and obey reasonable directions and instructions

Notify your director/supervisor or another member of staff of any health and safety issues or potentially hazardous situations that may pose a risk to you or others and report any accidents or incidents relating to staff, volunteers, or the workplace.

Behave appropriately and courteously to all staff, clients and the public in the course of your role

Use any property or equipment given to you in your role safely and only for purpose of the role and return it to the foundation when you finish your volunteer role

Let us know if you wish to change the nature of your contribution (e.g. hours, role) to the Love No Ego Foundation at any time

Comply with the law at all times, and be open and honest in your dealings with us and let us know if we can improve our program and the support that you receive.

Contact Person(s):

Your contact person at the Love No Ego Foundation will be provided to you. If you have any questions or concerns about your role, your health and safety, or if there is any assistance you need to help you undertake your role, please contact him or her.

Role description and details include, but not limited to:

Your role description and purposeful acts are stated in your organizational structure copy, and should have been given to you beforehand or along with this agreement. Or this may take place in person with a LNE officer.

​

For strictly volunteers:

Assist and or Table at Community and Organizational Events and Workshops

Community Clean-up of The Love No Ego Foundation Roadway

Recruitment of Other Volunteers

Connect With Other Organizations, Individuals, or Groups with Similar Missions

Perform Administrative and Social Media Work

Create, Help Create, and or Lead Programs and Events

It is therefore important that you only perform the tasks in the role description and as instructed by the foundation. To be covered by our policies, procedures, and insurance, it is also important that you are not affected by drugs or alcohol when you are volunteering.

Volunteer health and safety:

It also means that as a volunteer,

take reasonable care for the health and safety of others,

comply with any reasonable instruction by the Love No Ego Foundation,

let us know of any concerns you may have about safety and/or fitness in undertaking your role, and to cooperate with any reasonable policies and procedures of the foundation.

Please do not hesitate to talk to your coordination or director at any time if you have any health and safety concerns.

Induction and training required before you start in the volunteer role:

Information we require before you can start in the volunteer role:

Before you can commence the volunteer role, the Love No Ego Foundation will conduct a background check on you, in accordance with Intellicorp.

Volunteer expenses and other benefits as a volunteer:

Insurance:

​

NOTE: Completing this application does not guarantee or solidifies your volunteerism, employment, board role, and or position stated. All potential team members go through a 30-day probational period before receiving final notice of acceptance and onboarding.

​

​

5) Background Check Form

6) Featured Youth of the Month Questionnaire

7) Guardian Release of Information

8) Guest Form

Thank you for being a guest, sharing your story, and helping us to inspire our youth, and or make a difference! This will be a short, recorded 5-7 minute video conducted via zoom. After you complete the guest form below, you will received the zoom link invitation.

Care to Donate to this cause? Not Required.