Volunteer at Dwelling House of Hope Sign Up for Individual Volunteering Individual Volunteer Sign Up Form Name * First Name Last Name Phone (###) ### #### Email * Are you 18+ years old? * Yes No Desired Volunteering Time * Wednesday 1PM -6PM Thursday 7AM - 11AM Thursday 1PM - 6PM Friday 1PM - 6PM Saturday 7AM - 12PM Do you require written verification of your volunteer hours? * Yes No Volunteer Agreement, Waiver and Release of Liability 1. The Dwelling House of Hope is a public charity and has limited financial resources. 2. I accept all risks of personal injury and liability for all volunteer placements and tasks that I perform as a volunteer for the Dwelling House of Hope. 3. Some volunteer tasks involve carrying heavy objects, lifting, climbing and other physical activities. I will not undertake any activity that I am not able to safely perform. 4. I also acknowledge my understanding that my service as a volunteer on or about Dwelling House of Hope's properties or as a volunteer at a Dwelling House of Hope special event may expose me to various risks of injury or illness. In consideration of the permission and privilege allowed to me to serve as a volunteer, I agree and understand that I freely assume all risks, hazards and losses which may befall me in connection with my exercise of the permission and privilege allowed to me by Dwelling House of Hope, and I agree not to hold the Dwelling House of Hope, its agents, employees or volunteers liable for risk, hazard, injury, illness, property damage and/or loss. 5. I understand that this Waiver and Release of Liability extends to and applies to any personal injuries, injurious results, damage or losses which I may experience or sustain while engaged in training for volunteer service or while engaged in serving as a volunteer for the Dwelling House of Hope. 6. I promise for myself, my estate, executor, heirs and assigns not to sue or initiate any claim procedure against Dwelling House of Hope, its agents, employees, volunteers, assigns, or successors with respect to any risk, hazard, loss, injury, illness, or property damage I may experience or sustain arising directly or indirectly out of my volunteer activities with or at the Dwelling House of Hope and agree to indemnify and hold harmless the Dwelling House of Hope from and against all such claims that I or my successors or assigns may bring. 7. I understand that if my application is accepted, that acceptance is contingent on the results of a CORI background Check and my sign off on the Volunteer Handbook. The Dwelling House of Hope reserves the right to decline an application to volunteer or to discontinue working with a volunteer at any time, for any reason, as long as it is not an unlawful reason. A volunteer may discontinue volunteering with us at any time, although we would appreciate ample notice. CONFIDENTIALITY AGREEMENT 8. The protection of confidential information about the individuals served by the Dwelling House of Hope, as well as its staff, volunteers and donors is vital to the interest and the success of the Dwelling House of Hope. Staff and volunteers may exchange confidential information with each other when there is an appropriate need to know. Confidential information includes, but is not limited to: (i) information about co-workers or co-volunteers; (ii) information about clients; and (iii) information regarding client lists, donors, prospect lists, fundraising activities and other business practices of the Dwelling House of Hope. Information, as described above, is not to be released to any outside sources. Staff or volunteers who improperly use or divulge confidential information will be subject to disciplinary action, up to and including termination. I agree to maintain all information that I receive during my service as a volunteer as confidential and to respect the confidentiality of all privileged information I gain either directly or indirectly through my work with the Dwelling House of Hope, including information that involves staff, volunteers, clients, donors or overall Dwelling House of Hope business. PERMISSION TO USE PHOTOGRAPH 9. I give my permission for the Dwelling House of Hope to use my photograph and name in publications, websites, videos, brochures, or any promotional material produced by them or other press release distributed to the media. By checking the ‘I agree” box below, I acknowledge that all the information on the Volunteer Application is correct and that I have reviewed and agree to abide by the Dwelling House of Hope Service Guidelines, Confidentiality Statement and all Waiver and Release of Liability terms. I Agree Thank you! Sign Up for Group Volunteering Group Volunteer Sign Up Form Name * First Name Last Name Type of Group Church or Faith-Based College or University Community Organization Corporation Family/Friends (3+ people) Middle/High School (age 16+ ) Other Name of Organization How Many People in Your Group? Unless than 5 5-10 More than 10 Is Anyone in Your Group Under the Age of 16? * Yes No Phone * (###) ### #### Email * Desired Volunteering Time * Wednesday 1PM - 6PM Thursday 7AM - 11AM Thursday 1PM - 6PM Friday 1PM - 6PM Saturday 7AM - 12PM Do you require written verification of your volunteer hours? * Yes No Volunteer Agreement, Waiver and Release of Liability 1. The Dwelling House of Hope is a public charity and has limited financial resources. 2. I accept all risks of personal injury and liability for all volunteer placements and tasks that I perform as a volunteer for the Dwelling House of Hope. 3. Some volunteer tasks involve carrying heavy objects, lifting, climbing and other physical activities. I will not undertake any activity that I am not able to safely perform. 4. I also acknowledge my understanding that my service as a volunteer on or about Dwelling House of Hope's properties or as a volunteer at a Dwelling House of Hope special event may expose me to various risks of injury or illness. In consideration of the permission and privilege allowed to me to serve as a volunteer, I agree and understand that I freely assume all risks, hazards and losses which may befall me in connection with my exercise of the permission and privilege allowed to me by Dwelling House of Hope, and I agree not to hold the Dwelling House of Hope, its agents, employees or volunteers liable for risk, hazard, injury, illness, property damage and/or loss. 5. I understand that this Waiver and Release of Liability extends to and applies to any personal injuries, injurious results, damage or losses which I may experience or sustain while engaged in training for volunteer service or while engaged in serving as a volunteer for the Dwelling House of Hope. 6. I promise for myself, my estate, executor, heirs and assigns not to sue or initiate any claim procedure against Dwelling House of Hope, its agents, employees, volunteers, assigns, or successors with respect to any risk, hazard, loss, injury, illness, or property damage I may experience or sustain arising directly or indirectly out of my volunteer activities with or at the Dwelling House of Hope and agree to indemnify and hold harmless the Dwelling House of Hope from and against all such claims that I or my successors or assigns may bring. 7. I understand that if my application is accepted, that acceptance is contingent on the results of a CORI background Check and my sign off on the Volunteer Handbook. The Dwelling House of Hope reserves the right to decline an application to volunteer or to discontinue working with a volunteer at any time, for any reason, as long as it is not an unlawful reason. A volunteer may discontinue volunteering with us at any time, although we would appreciate ample notice. CONFIDENTIALITY AGREEMENT 8. The protection of confidential information about the individuals served by the Dwelling House of Hope, as well as its staff, volunteers and donors is vital to the interest and the success of the Dwelling House of Hope. Staff and volunteers may exchange confidential information with each other when there is an appropriate need to know. Confidential information includes, but is not limited to: (i) information about co-workers or co-volunteers; (ii) information about clients; and (iii) information regarding client lists, donors, prospect lists, fundraising activities and other business practices of the Dwelling House of Hope. Information, as described above, is not to be released to any outside sources. Staff or volunteers who improperly use or divulge confidential information will be subject to disciplinary action, up to and including termination. I agree to maintain all information that I receive during my service as a volunteer as confidential and to respect the confidentiality of all privileged information I gain either directly or indirectly through my work with the Dwelling House of Hope, including information that involves staff, volunteers, clients, donors or overall Dwelling House of Hope business. PERMISSION TO USE PHOTOGRAPH 9. I give my permission for the Dwelling House of Hope to use my photograph and name in publications, websites, videos, brochures, or any promotional material produced by them or other press release distributed to the media. By checking the ‘I agree” box below, I acknowledge that all the information on the Volunteer Application is correct and that I have reviewed and agree to abide by the Dwelling House of Hope Service Guidelines, Confidentiality Statement and all Waiver and Release of Liability terms. I Agree Thank you! Volunteers play an essential role in the functioning of our food pantry and are the backbone of our organization.
