• Volunteer Application

  • Date of Application
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • How would you prefer us to contact you?
  • What is your marital status?
  • Please select all areas of interest:
  • If needed, where are you willing to travel to?
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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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  • If unable to leave a signature, please click yes to indicate your electronic signature and agreement to the above statements.*
  • Should be Empty: