Legal Name
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First Name
Last Name
Preferred Name
First Name
Last Name
Home Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
*
(###)
###
####
Email
*
Date of Birth
*
MM
DD
YYYY
Why do you want to volunteer with us?
*
Volunteer Attire
*
We expect volunteers to dress in a manner that is modest and appropriate.
Volunteer Availability
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Please indicate the days and general times you are usually able to volunteer.
Volunteer Interests
*
References
*
By submitting this information, I acknowledge that I understand that Always Endure will conduct a reference check. This reference check may include information regarding character, work record, general knowledge and capabilities, and reputation. I hereby acknowledge that I have read and understand this statement and I authorize Always Endure to obtain a reference check from the individuals listed here.
Please list (2) individuals, including their legal first and last name, address, cell phone number, email address, and your relationship to them. Your references cannot be relatives or individuals under the age of 21.
**Note - This section is only for those wanting to serve at House of Hope. Please type N/A is you want to serve in a different area.
Emergency Contacts
*
Please list (2) individuals, including their legal first and last name, cell phone number, email address, and your relationship to them.
Photos and Video
*
Group and individual photos are permitted at events and Community Care Days, but please ask the beneficiary for permission beforehand.
Please refrain from taking photos that identify the children, teens, and DCS staff utilizing House of Hope.
Refrain from filming any video while volunteering unless given approval from our staff.
Confidentiality
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I will keep all information that is obtained directly or indirectly through volunteering about Always Endure and those we serve absolutely confidential.
Confirmation
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By checking the box below, you confirm understanding that Always Endure may complete reference checks and other background checks that are public in nature as part of volunteer application processing. This may include the National Sex Offender Registry as well as public criminal history databases.
Consent for additional background checks may be requested depending on the nature of your volunteer assignment.
Release
*
TO THE FULLEST EXTENT PERMITTED BY LAW, I AGREE AND DO HEREBY RELEASE, INDEMIFY, DEFEND AND HOLD HARMLESS ALWAYS ENDURE, ITS PARTNERS, SUCCESSORS, ASSIGNS, LEGAL REPRESENTATIVES, OFFICERS, BOARD MEMBERS, EMPLOYEES, CONTRACTORS, OTHER VOLUNTEERS, AND AGENTS (COLLECTIVELY “INDEMNITIES”) FOR, FROM AND AGAINST ANY AND ALL CLAIMS, LIABILITIES, FINES, PENALTIES, COSTS, DAMAGES, INJURIES, LOSSES, LIENS, CAUSES OF ACTION, SUITS, DEMANDS, JUDGMENTS, AND EXPENSES (INCLUDING, WITHOUT LIMITATION, COURT COSTS AND ATTORNEYS’ FEES) (COLLECTIVELY “LIABILITIES”) OF ANY NATURE, KIND OR DESCRIPTION DIRECTLY OR INDIRECTLY ARISING OUT OF, RESULTING FROM OR RELATED TO (IN WHOLE OR IN PART) ANY BREACH OF ANY VOLUNTEER’S OBLIGATIONS AND RESPONSIBILITIES HEREUDNER OF THE VOLUNTEER’S SERVICE WITH ALWAYS ENDURE OR ANY THIRD PARTY INJURY RESULTING FROM VOLUNTEER’S USE OF ALWAYS ENDURE OR BREACH OR ANY VOLUNTEER REPRESENTATION, WARRANTY OR COVENANT CONTAINED HEREIN WHETHER OR NOT SUCH ARE DISCOVERED DURING OR AFTER MY VOLUNTEER WORK HEREUNDER.
Signature Approval
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By typing my full name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
Date of Signature
*
MM
DD
YYYY
