VOLUNTEER APPLICATION
School Year 2024-2025
Name
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First Name
Last Name
How did you hear about C.L.I.M.B.?
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I. Volunteer Commitment
2 Hours per Week, Thursdays, September 5 through May 1, following the MISD school calendar
Select all that apply for your availabity
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Thursday afternoons from 3:00-5:00pm, September 5-May 1, 2025
SPECIAL EVENTS (Back to School Bash, Holiday Celebration, etc.)
Other
II. Personal Information
Mobile Phone Number (1)
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Please enter a valid mobile phone number.
Phone Number (2)
Please enter a valid mobile phone number.
Email
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example@example.com
Age range:
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Please Select
Minor (12-17)
18-29
30-39
40-49
50-64
65+
Church/Organization Affiliation:
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Current Employer/School/Retired:
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T-Shirt Size
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Please Select
ADULT SM
ADULT MED
ADULT LG
ADULT XL
ADULT 2XL
ADULT 3XL
Emergency Contact
List a LOCAL emergency contact.
EMERGENCY CONTACT
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EMERGENCY Phone
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Please enter a valid phone number.
Are you a Minor?
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No: Please jump to Section IV
Yes, I am a minor (under 18 years old): Complete the Teen Volunteer information below.
III. Teen Volunteer: Additional Information
If you are 18 years old or older, Skip to Section IV.
Name of Parent or Guardian if you are a Minor (Age 13-17).
First Name
Last Name
Parent or Guardian Phone
Please enter a valid phone number.
Parent or Guardian Email
example@example.com
School Name & City
Current Grade
Please Select
Grade 7
Grade 8
Freshman
Sophomore
Junior
Senior
Green Cord Hours Request
Yes
IV. Background Check Information
A background check is required for Adults (18+) to volunteer at CLIMB.
A Background Check will be provided by my Organization or Business
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NO, I am a minor. (Under age 18)
I NEED TO GET ONE, I will email CLIMB Leadership to request a Background Check. Link is on the website. A $20 donation is appreciated.
YES, I have a current Background Check with this organization:
Except for minor traffic violations, have you been convicted of any violations of the law?
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NO
YES: This will not automatically prevent you from volunteering, please discuss with CLIMB Leadership.
V. Education, Skills , Languages, & Special Needs
Tell us a little about yourself
Education completed:
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Current Student
High School Graduate/GED
Certification or Associates Degree
College Degree
Advanced Degree
Other
Please specify Trade/Skill/Field of Study:
Do you have any of the following certifications?
First Aid Certification
CPR Certification
Nurse
EMT
Counseling or Therapy
ESL, TESOL, TEFL
Security or Law Enforcemnt
Teaching
Other
What languages do you speak in addition to English?
List languages that you speak in addition to English.
What hobbies or special interests do you have?
Additional information about yourself, such as past jobs or volunteer work that you have a passion for, or your reason for wanting to serve with C.L.I.M.B.?
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VI. Code of Conduct
We are guests in the Community. To protect your safety, and the safety of others, you agree to uphold the following minimum standards:
MY PERSONAL BEHAVIOR: Mark each item that you agree to uphold:
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INTEGRITY: I will be a Role Model to those I work and serve, treating others with dignity, respect, and worth.
SUBSTANCES: I will not arrive to any event under the influence of alcohol or illegal substances.
SMOKING/VAPING: I will not smoke or vape while volunteering.
INAPPROPRIATE LANGUAGE AND BEHAVIOR: I will not use profanity, abusive language, obscene gestures, negative attitude, disruptive behavior, or display intimate or inappropriate physical contact.
EQUALITY: I commit to display non-judgemental attitudes toward differences in culture, race, religious beliefs, identity, living conditions, or life-styles of each person with whom I work and serve.
COOPERATE: I agree to work in a constructive and cooperative way with Leadership and comply with any safety procedures as directed.
PROPERTY: I will respect the property. Pick up trash, replace items to original locations, report broken items, clean up, keep storage areas organized, etc.
LAW ABIDING: I will abstain from all illegal activity.
Impact in the Community
For the safety and balance of relationships in the community, volunteers agree to the following guidelines:
PHOTOS: I will not upload photos or videos of participants on social media or other platforms unless authorized by CLIMB Leadership.
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I agree
PERSONAL INFO: I will not exchange contact details with participants and/or their families, including the exchange of phone numbers and following on social media accounts unless authorized by CLIMB Leadership.
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I agree
GIFTS/MONEY/NEEDS: You will have a desire to meet the needs of our participants. Our goal is to provide help without hurting. With this in mind, I will present all requests to the CLIMB Leadership. I will NOT give a gift (new or used: toys, clothes, furniture, cash, debit cards, gift cards, gas cards, merchandise, etc.) to any participant or family without prior approval from C.L.I.M.B. Leadership. (Resource book: "When Helping Hurts" by Steve Corbett)
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I agree
Other
Personal Safety and Accountability
For the protection of the C.L.I.M.B. volunteers, you agree to the following directives:
PROPERTY: I will not accompany a participant away from the planned activity area.
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I agree
RESIDENCES: I will not enter a participants apartment/residence unless authorized or accompanied by CLIMB Leadership.
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I agree
ACCOUNTABILITY: I will not be alone with a participant that is a minor. I will always be with at least one other adult.
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I agree
VEHICLES: I will not provide transportation for any participant or their family.
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I agree
PERSONAL INFO: I will not ask or exchange contact details with participants and/or their families, including phone numbers and social media accounts, unless authorized by CLIMB Leadership.
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I agree
REPORT INJURY: I will report any concerns, issues, incidents of injury directly to CLIMB Leadership immediately.
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I agree
REPORT CHILD ABUSE: I will comply with the State of TX mandated reporting in cases of suspected child abuse or neglect. CALL: DFPS Child Abuse Hotline or consult C.L.I.M.B. Leadership.
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I agree
Photo Permission Form
CLIMB has my permission to use photographs of me or my child (a minor under 18 years of age) taken during CLIMB activities for use on their website or other promotional material. These pictures may be posted on social media platforms as well as used for marketing and promotions.
Select the option that applies:
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Yes, CLIMB has my permission to use my photograph.
No, CLIMB does not have my permission use my photograph.
VII. SIGNATURE & DATE
*Please note that all personal information on this application form is highly confidential. It will only be used for the purpose for which it was collected and won’t be disclosed to any other parties.
I agree that all information provided is accurate and I agree to the Code of Conduct and release waver as noted above. Signature of Volunteer or Parent of Minors
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