As stated above, after we receive your completed application, we will contact you by phone within 1 week of receipt. Small projects may be approved & scheduled immediately, while larger projects will take longer and require you to submit additional documentation (such as pay stub, social security benefits, housing assistance, proof of ownership, documentation of assets, previous year taxes, etc.).
NATURE OF NON-PROFIT CATALYST PARTNERSHIPS ACTIVITY: I understand and acknowledge that my involvement in this endeavor with Catalyst Partnerships, its agents and contractors, and any partnering organizations, hereafter referred to as ‘Catalyst,’ is voluntary. I understand and acknowledge my willingness to allow my property to be associated with this Catalyst activity in the manner described in this Recipient Application, I also voluntarily submit myself to the supervision of Catalyst staff, officers, agents, employees, volunteers, etc., for all activities which are part of this project. I understand that the services being provided to me may be through volunteers who freely donate their time without any compensation to themselves, and that the overall quality of service and/or craftsmanship I receive may not reflect professional standards. I also give Catalyst the irrevocable right and unrestricted permission to use and/or publish photos and/or video images of/including me, for purposes of art, display, advertising, editorial use, or any other lawful purpose, and waive any right I may have to inspect and approve the finished product of any piece that may use such.
RELEASE OF LIABILITY: I understand and acknowledge that this Activity and any related activities, by their very nature, pose the potential risk of damage to my property. I also realize that Catalyst and its personnel, agents, or volunteers, or any other person or entity associated with this Activity, may not be professionally trained for this Activity, and are not legally or financially responsible or liable for any claim arising from any damage done to my property during this Activity.
I understand that Catalyst carries liability insurance for its service activities. In the event of liability claim, I hereby voluntarily agree, on behalf of myself and my heirs, executors, administrators and assigns, that I will not seek remuneration beyond that which is necessary and reasonable for any damage and/or loss which is incident to/associated with preparing for/while participating in any activity in any way connected with said Activity. In the same manner, I also voluntarily exempt and relieve Catalyst officers, agents, servants, employees, volunteers, or any other person or entity associated with this Activity, from any liability or responsibility, whether same shall arise by the negligence of any of said persons, or otherwise.
MEDICAL TREATMENT AUTHORIZATION: In the event of accident or illness to me/my child, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services. Further, I agree that Catalyst and its personnel, agents, or volunteers, or any other person or entity associated with these Activities, are not personally responsible or liable for any claim arising from any consent given in good faith in connection with diagnosis or advised treatment.
I/my child understand(s) that Catalyst DOES NOT CARRY HAZARD INSURANCE TO COVER ME/MY CHILD for any accidents/injuries to me/ my child. I understand that, in the event that I/my child am/is injured in any way, any personal medical and hospitalization insurance available to me/my family will provide sole coverage. I/my child voluntarily elect(s) to participate in this Catalyst Activity. I agree to assume any and all liability and responsibility for any and all potential risks which may be associated with participation in such Activities or any activities incidental thereto.
NO PLANS TO SELL: I also certify that I do not intend to sell my property within the next 12 months following the date herein; and that, in the case of sale, if I receive additional profit because of the work performed under this agreement, I agree to return funds to Catalyst equaling an appropriately prorated value of said improvements. I acknowledge that, if this case arise upon the sale of my property within the next 12 months, and I am unwilling to return said funds, Catalyst Partnerships reserves the right to place a lien on my property in order to recuperate said funds.
CERTIFICATION: By submitting this form, I certify that all information provided in this application is true and complete. I give Catalyst the right to verify and request additional information when necessary. I also give Catalyst permission to check personal & criminal background, using the information I’ve provided in this application. I understand that the background check process, or any false or misleading information I have given, may disqualify me from involvement. I understand that information will be held confidential.