Volunteer Application

Your Contact Information

First Name *

Last Name *

Email *

Date of Birth *

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Email

Communication

I would like to be contacted for the following: * The field I would like to be contacted for the following: is required.

Newsletter Sign-up * The field Newsletter Sign-up is required.

Preferred method of communication * The field Preferred method of communication is required.

Preferred method of communication 2

Preferred method of communication 3

Availability & Frequency

Availability * The field Availability is required.

Other Availability The maximum length for the field Other Availability is 500 characters.

Desired Term of Service * The field Desired Term of Service is required.

Hours per day * The numeric field Hours per day is required.

Days per week * The numeric field Days per week is required.

Days per month * The numeric field Days per month is required.

Do you have a certain number of hours to fill? * The field Do you have a certain number of hours to fill? is required.

How many hours do you need to fill? The maximum length for the field How many hours do you need to fill? is 500 characters.

Professor or employer name: The maximum length for the field Professor or employer name: is 500 characters.

Skills

Check the following tasks you are skilled in:

What are you skilled in? * The field What are you skilled in? is required.

If applicable, what other language do you speak? The maximum length for the field If applicable, what other language do you speak? is 500 characters.

Other skills not listed The maximum length for the field Other skills not listed is 500 characters.

Find Your Fit

The following questions may help us understand your personality type and what volunteer positions might fit you best. Please select the statement that best applies to your personality and answer the following questions below:

How did you hear about House of Hope? * The field How did you hear about House of Hope? is required.

What are you hoping to gain from this experience? * The field What are you hoping to gain from this experience? is required.

What positions are you most interested in? * The field What positions are you most interested in? is required.

Relationship-based or task-based?

Kids or adults?

Creative or analytical?

Leader or follower?

Detail-oriented or big-picture-oriented?

Working on a team or working alone?

What are your experiences working with children? The maximum length for the field What are your experiences working with children? is 500 characters.

What are your experiences teaching activities? The maximum length for the field What are your experiences teaching activities? is 500 characters.

What is your educational background? The maximum length for the field What is your educational background? is 500 characters.

Do you have any certifications? The maximum length for the field Do you have any certifications? is 500 characters.

Do you have any special experiences? The maximum length for the field Do you have any special experiences? is 500 characters.

What type of work are you NOT interested in? The maximum length for the field What type of work are you NOT interested in? is 500 characters.

House of Hope Policies and Code of Conduct

NON-DISCLOSURE OF CONFIDENTIAL INFORMATION: In the course of your work as a House of Hope volunteer, you may see or hear confidential information, including information regarding the medical, financial, or family situations of women or children in the program. Disclosing this information to anyone other than the House of Hope staff is not allowed unless the disclosure is required by law.

SUPERVISING CHILDREN: You may not practice corporal punishment. Corporal punishment includes any action that inflicts pain as a way to discipline. (e.g. spanking, slapping, etc). Further, you may not practice any form of discipline that inflicts fear, threats of harm, or threats of discomfort.:

TRANSPORTATION POLICY: You may not transport any person in the House of Hope program without authorization from the House of Hope staff, a valid driver's license, proof of insurance, and the appropriate car seat/booster seat. If you have any questions regarding the usage of car seats/seatbelts, please contact the House of Hope staff.:

PERSONAL APPEARANCE/CLOTHING: Every volunteer contributes to the organization's overall public image during volunteer hours. Volunteers present a neat appearance with clothing that is clean, in good repair, and suited to the volunteer activity. Avoid clothing with references to alcohol, drugs, sexual innuendo, tobacco, violence, profanity or political sentiment when volunteering.

TRAUMA RESPONSIVE APPROACH: As human beings, we all have had adversity in our lives. At House of Hope, we recognize that many of the women we serve have experienced adversity and trauma. Science is showing us now more than ever the impact that trauma can have on an individual. Connections and positive relationships are key to helping an individual heal, build resilency and support their goals. Volunteers constribute to this atmosphere with a calm and positive attitude, focus on understanding over judgement. Trainings on this topic are required for some positions and highly encouraged for others.

HOUSE OF HOPE IS A SMOKE, ALCOHOL, DRUG AND WEAPON FREE FACILITY.

I agree to House of Hope's Policies & Code:

Read Carefully:

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. House of Hope has put in place preventative measures to reduce the spread of COVID-19; however, House of Hope cannot guarantee that you will not become infected with COVID-19. Further, attending House of Hope volunteer activities could increase your risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk I may be exposed to or infected by COVID-19 by attending House of Hope and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I also agree to comply with all federal, state and local mandates, as well as any policies of House of Hope, relating to social distancing, hygiene, cleaning and disinfection and any required health screenings. I agree to stay home if I have been exposed to COVID-19 in the past 14 days, am not feeling well or am displaying any symptoms of COVID-19. I also agree to immediately notify the Volunteer Coordinator if I experience any of the foregoing while volunteering. I understand that the risk of becoming exposed to or infected by COVID-19 while volunteering at House of Hope may result from the actions, omissions, or negligence of myself and others, including, but not limited to, House of Hope employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with attendance at House of Hope activities. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless House of Hope, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of House of Hope, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any House of Hope volunteer activities.

I have read and agree to the Assumption of Risk: * The field I have read and agree to the Assumption of Risk: is required.

Hold Harmless Agreement

I understand that my time with House of Hope may include various activities that may be hazardous to me and I hereby expressly and specifically assume the risk of injury or harm in these activities and release House of Hope from all liability for injury, illness, death, or property damage resulting from the activities of my time with House of Hope.

By engaging in volunteer activities at House of Hope, I agree to release and relieve House of Hope, their officers, agents, servants and employees, from and against any and all claims demands, expense and liability arising out of injury or death to my person as a result of entering House of Hope property or engaging in Volunteer activities connected to House of Hope.

I have read and agree to Hold Harmless Agreement: * The field I have read and agree to Hold Harmless Agreement: is required.

Media Release

I grant unto the Organization all right, title, and interest in any and all photographic images and video or audio recordings that are made by the Organization during my work with the Organization, including, but not limited to, any royalties, proceeds, or other benefits that are derived from such photographs or recordings.

I have read and agree to the Media Release: * The field I have read and agree to the Media Release: is required.

Electronic Signature

Typing your NAME and DATE signifies you are completing this form using an electronic signature.

Signing electronically, confirms your understanding and agreement to the terms, conditions and requirements of our Hold Harmless Agreement, Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 and Code of Conduct Agreement outlined above. You must have scrolled through and read the above agreements before signing.

Electronic Signature (Type Name here): * The field Electronic Signature (Type Name here): is required.

Date Signed * The date field Date Signed is required.