Volunteer Application

Date

Name*

First NameLast Name

Email Address*

Would you like to join or monthly newsletter?

Yes!

Phone Number Type*

HomeWorkCell

Phone Number*

Text Message ok?*

YesNo

Alternate Phone Number*

Alternate Phone Number Type*

HomeWorkCell

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer

Job Title

Are you over 18+*

YesNo

If under 18, what is your birthdate

What school do you attend

Grade

Do you need community service hours

YesNo

Name*

First NameLast Name

Relationship*

Phone Number*

Phone Number Type*

HomeWorkCell

What are your GOALS for volunteering with xHope?*

CLUBS, GROUPS, MEMBERSHIPS, ORGANIZATION AFFILIATIONS*

Please select the following gifts and skills you have:*

OFFICE SUPPORT

(weekly support during the day, one-time projects, admin tasks, organizing, inventory, cleaning, assembling kits)Other

Co-Op Closet

(sorting, laundry, collecting, goodwill drop offs, inventory, diaper bag deliveries)Other

COMMUNICATIONS

Newsletters, social media, graphic design, slide decks, video clips, monthly volunteer updatesOther

INTERNATIONAL

Missions, education program, business developmentOther

COMMUNITY ENGAGEMENT

Donation drives, donation pick-ups, raffle prizes, large silent auction items)Other

EVENTS and OUTREACH COMMITTEES

Evening of Hope , CFK Summer Blast event, CFK Holiday Event, CFK Back to School EventOther

Any other information you would like us to know?

Depending on volunteer role, do you agree to be Fingerprinted

YesNo

Volunteer HOLD HARMLESS AGREEMENT

I, First Name Last Name wish to volunteer with xHope, Inc. As a volunteer, I hereby release, indemnify, and hold harmless xHope, Inc., its directors and board members, staff, successors, volunteers, legal representatives, organizers, sponsors, and supervisors of its activities from any and all claims, causes of actions and liability arising from or in any way connected with my volunteer participation with xHope, Inc.

PHOTO / MEDIA CONSENT RELEASE

I understand that xHope, Inc. may request to use photos and/or videos of its volunteers, program participants and organization partners, taken during program activities and events to use in print, multimedia or web form. Photos/videos will only be used only for purposes related to xHope, Inc.'s programs and its affiliated partners.

I DO
hereby grant permission to xHope, Inc., its partner organizations and affiliates, to use my photo/video and likeness and/or any video footage or written/verbal statements from me, in its print publications, social media postings, and any other means used to publicize its programs. This consent includes, but is not limited to permission to interview, film, photograph, tape or otherwise make a video reproduction of me and/or record my voice. I understand that xHope, Inc. is a non-profit organization, and that photos published will not be used for any commercial purposes.

I DO NOT
grant permission to xHope, Inc., its partner organizations and affiliates, to use my photo/video and likeness and/or any video footage or written/verbal statements from me, in its print publications, social media postings, and any other means used to publicize its programs. If I am part of a group, I understand that in order to fulfill this request, I may be asked to step out of a group photo.

First Name Last Name

Signature Date

** TO BE COMPLETED BY PARENT/GUARDIAN**

(MINOR-Under 18)

Volunteer HOLD HARMLESS AGREEMENT AND PERMISSION WAIVER

I, First Name Last Name, parent/legal guardian give permission to my child, First Name Last Name , to volunteer with xHope, Inc. I hereby release, indemnify, and hold harmless xHope, Inc., its directors and board members, staff, successors, volunteers, legal representatives, organizers, sponsors, and supervisors of its activities from any and all claims, causes of actions and liability arising from or in any way connected with my child’s volunteer participation with xHope, Inc.

PHOTO / MEDIA CONSENT RELEASE

I understand that xHope, Inc. may request use photos and/or videos of volunteers under the age of 18 taken during program activities and events to use in print, multimedia or web form. Photos/videos will only be used only for purposes related to xHope, Inc.'s programs and its affiliated partners.

I DO
hereby grant permission to xHope, Inc., its partner organizations and affiliates, to use photo/video and likeness and/or any video footage or written/verbal statements from my minor child, in its print publications, social media postings, and any other means used to publicize its programs. This consent includes, but is not limited to permission to interview, film, photograph, tape or otherwise make a video reproduction of my child and/or record my child’s voice. I understand that xHope, Inc. is a non-profit organization, and that photos published will not be used for any commercial purpose. xHope, Inc. will not publish the identity or any other personal information of any minor(s) pictured in the photographs or videos, although the name of the affiliated program, school or organization may be identified.

I DO NOT
grant permission to xHope, Inc., its partner organizations and affiliates, to use my child’s photo/video and likeness and/or any video footage or written/verbal statements from my child in its print publications, social media postings, and any other means used to publicize its programs. If my child is part of a group, I understand that in order to fulfill this request, they may be asked to step out of a group photo.

First Name    Last Name
     Relationship to Minor

Signature    Date

Staff Notes

xHope, Inc. VOLUNTEER INFO SHEET

Personal Information

In Case of Emergency:

Volunteer HOLD HARMLESS AGREEMENT

First Name Last Name

Signature Date

First Name    Last Name
     Relationship to Minor

Signature    Date

xHope, Inc. VOLUNTEER INFO SHEET

Personal Information

In Case of Emergency:

Volunteer HOLD HARMLESS AGREEMENT

First Name Last Name Signature Date

First Name Last Name Relationship to Minor Signature Date

First Name Last Name

Signature Date

First Name Last Name
Relationship to Minor

Signature Date