Volunteer Application
Date of Application
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Month
-
Day
Year
Date
First, Middle, Last Name
*
Date of Birth
*
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Month
-
Day
Year
Date
Maiden/Previous Names
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How would you prefer us to contact you?
Text
Email
What is your marital status?
Single
Married
Divorced
Widowed
Living Together
Names and Ages of Your Children
Occupation
Employer and length of employment with them
Do you have any limitations or conditions preventing you from certain types of activities? If yes, please explain.
Do you have any experience with foster care and/or adoption? If yes, please explain.
How did you hear about volunteering with Clara's Hope?
*
Why are you interested in volunteering with Clara's Hope?
Please select all areas of interest:
Meals
Services: House Cleaning, Laundry, Minimal Home Repairs
Mentoring
Encouragement Cards
Family Events
Assembling Family Baskets/Collecting Donations
What experience do you have in the areas of interest that you checked above?
Do you have any additional ideas for ways to volunteer or support our mission?
Tell us about any other experiences you've had as a volunteer with other organizations, schools, churches, etc.
If needed, where are you willing to travel to?
Anywhere in Genesee County
Anywhere in Livingston County
Fenton
Linden
Grand Blanc
Swartz Creek
Flint
Clio
Burton
Davison
Flushing
Hartland
Howell
Brighton
Pinckney
Fowlerville
South Lyon
Please provide the names and email addresses for three references who are not related to you. Reference #1 - Name and Email
Reference #2 - Name and Email
Reference #3 - Name and Email
Please upload pictures or copies (or take pics below) of the FRONT and BACK of your driver's license. This is necessary to complete background checks. If you prefer not to upload, please email copies to: maria@clarashope.org
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If you did not upload pics, use your phone or tablet to take a pic of the FRONT of your driver's license. Please set your license on a plain flat surface and try to get mostly the license with as little of the background in the pic as possible. Be sure the picture is clear and without glare.
Use your phone or tablet to take a pic of the BACK of your driver's license.
Please fill out this form and upload below. You can also email to maria@clarashope.org or mail to Clara’s Hope, 2525 West Shiawassee Ave, Fenton MI 48430. This is for the DHHS Central Registry Clearance and is part of the background check process.
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By electronically signing below, you agree that information provided on this application is true to the best of your knowledge. You also agree that references can be contacted if needed for further inquiry. You authorize Clara’s Hope to conduct a reasonable investigation of background, suitability, and fitness for service with Clara’s Hope. This will include a criminal background check, National and Michigan Sex Offender Registries, and DHHS Central Registry Clearance.
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If unable to leave a signature, please click yes to indicate your electronic signature and agreement to the above statements.
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Yes I agree and consider this my electronic signature.
No, I do not agree and would like the Volunteer Coordinator to contact me.
Submit
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