Volunteer Application

Volunteer Application
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Todays Date

MonthDayYear
Date
Email
example@example.com
Are you volunteering with a group?*

Yes and I am the group leaderYes and I am a group participantNo
Group Volunteer Date

MonthDayYear
What day does your group intend on volunteering together?
Name of Church/Group/Organization
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Do we currently serve you food, clothing, showers and/or shelter?*

YesNo

In order to be a volunteer, we ask you to have no cursing, intimidation, rudeness, or violence of any kind and to avoid drug/alcohol abuse.

If you agree to this, please sign below.
Signature

Clear
Today's Date

MonthDayYear
Date
By signing above you acknowledge that if you do not remain peaceable, do not take your prescribed medication and do not remain sober you are subject to no longer volunteering with us.
Please continue to click next if page appears blank.

Consent to perform criminal background check and release from liability:

This is for the safety of our current guests, staff and volunteers.
Name*

First NameMiddle NameLast Name
Maiden name/Other last name used
Male or Female
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Drivers License Number
State Issued
Social Security Number *
This authorization and consent for release of my personal information acknowledges that the Downtown Hope Center, DHC, and its agent Alaska Christian Ministries Assoc, may now or at any time I am assigned to volunteer at DHC conduct investigations into criminal records, dept. of correction records and sex offender records.

I understand that these records will be used to determine my eligibility for volunteer duties at DHC. Therefore, I authorize and consent to the full release of those records to the authorized representative of DHC; and I release the custodians of the records from all liability to me that might arise from retrieving and accurately reporting the information to DHC.

I/we know and acknowledge that persons served by DHC are, in the nature of DHC’s mission, sometimes ill, unstable, abusive and/or violent, and that assisting its clientele can entail risk to myself of possible bodily injury, property damages, illness and /or other loss. I willingly assume that risk. If my volunteered service is accepted by DHC, I fully and completely release DHC from any and all liability the law might otherwise impose on it for any such injury, damage, loss or other harm to myself and /or personal property that might arise or occur in the course of my service.
Signature*

Clear
Date Signed *

MonthDayYear
Click yes if you decline to receive updates regarding the Downtown Hope Center and do not wish to be added to our Mailing List.

Yes

Do you have anyone under the age of 18 volunteering with you?*

YesNo
Child Policy

We welcome you and your child(ren) to volunteer together. Children ages 0-5, must have 1 adult per child. There must be one adult to every three children between the ages of 5-14. Children 15 to 18 years old can be without adult supervision. Parents are responsible for their children. The Downtown Hope Center is not responsible for caring for your child while you are serving. If your family is deemed a safety hazard by the Downtown Hope Center staff, you may be relieved of your volunteer duties.

Example: If you are volunteering with five minors under the age of 14 there should be two adult volunteer applications with the minor information portion of the application filled out.

This is a safety measure for both you and your family, our staff and our building.
By filling out this portion of the application I acknowledge I have read and understand the above paragraph:

Guardian Name:   First Name   Last Name
Guardian Signature: Signature   Date

Name of Minor   First Name   Last Name    Date of Birth
Relationship to Minor
Name of Minor   First Name   Last Name    Date of Birth
Relationship to Minor
Name of Minor   First Name   Last Name     Date of Birth
Relationship to Minor

We cannot wait to meet you, but before we do, a staff member will contact you shortly. Please do not show up to volunteer until you have been contacted and a background check has been processed. Thank you!
Should be Empty:

Volunteer Application

How would you like to volunteer?

Availability

Consent to perform criminal background check and release from liability: