Boston Rescue Mission Volunteer Application

Boston Rescue Mission is a nonprofit organization that empowers individuals experiencing homelessness or who are at risk of becoming homeless to achieve and sustain life skills necessary to become more self-sufficient.

If you are interested in volunteering, please submit the following form! *Note that all volunteers must be at least 18 years of age, unless accompanied by a parent/legal guardian. Thank you!

Questions about Boston Rescue Mission and our volunteer program? Please contact the Volunteer Coordinator at volunteer@brm.org or call us at 617-338-9000 ext. 1230

Name*

First NameLast Name

Date of Birth*

Date

Phone Number*

Email*

example@example.com

How did you hear about Boston Rescue Mission volunteer opportunities? *

Have you previously volunteered at Boston Rescue Mission?*

YesNo

Are you interested in:*

Short-term volunteer serviceLong-term volunteer service

Are you applying as an individual volunteer or as an organization? *

Organization Name*

Organization Address*

How many people are in your group?*

Address*

Address

Emergency Contact*

Please list skills, special training, interests, etc. *

Have you ever used services from or resided at Boston Rescue Mission?*

YesNo

Will this be part of your internship program and/or university course or other academic requirements?*

YesNo

Please provide contact information for relevant professor.*

Are you volunteering to complete your court ordered community service or probation hours?*

YesNo

Have you ever been convicted for any crime?*

YesNo

Please provide contact information for 1 non-related individual who can serve as a reference for you.

Once we have contacted your reference, you will receive an email from our team with regards to next steps!

Reference*

VOLUNTEER POLICY AGREEMENT

By his/her selection below, the individual voluntarily agrees to assume and/or incur all risks of loss, impairment, damage or injury of whatever kind, including death, that may be sustained or suffered while volunteering for the Boston Rescue Mission whether or not the result in whole or in part of acts or omissions, negligence or other unintentional fault of the Boston Rescue Mission. In addition, the participants (including his/her heirs, assigns and personal representatives) agree to release, hold harmless, and indemnify the Boston Rescue Mission from and against any claims, demands, actions, causes of action, lawsuits, expenses, or losses (including attorneys' fees) on account of property damage or personal injury (including death) arising out of or attributable to the individual's volunteer work. The participant also agrees to keep confidential all Boston Rescue Mission client information.

Agreement*

I agreeI disagree

Date of Agreement*

Date

CONFIDENTIALITY AGREEMENT

Due to the sensitive nature of the programs that are provided by the Boston Rescue Mission, we require all volunteers and interns to sign a confidentiality agreement, assuring that the rights of our clients are protected. The Boston Rescue Mission has a zero tolerance policy for any breach of client confidentiality, and a volunteer or an intern can be terminated if he or she is found to have broken this agreement. The mission statement for this organization states that the Boston Rescue Mission seeks:

• To support the recovery, health, faith, and independence of those who have a history of substance use, incarceration, and homelessness

• To raise awareness about the root causes of these life risks

• To serve everyone with respect, integrity, and grace

• To continue to learn, grow, and excel in our services

• To be good stewards of the resources entrusted to us by our supporters

• To reflect the teachings of Jesus and the love of God in all we do

In order to fulfill these objectives, the clients must feel secure in the fact that their situations will not be discussed or alluded to with anyone not affiliated with the Boston Rescue Mission.
Thank you for your cooperation to assure that the rights of those we serve are protected.

Indicate below if the following is true:
I am willing to receive the electronic version of the policies on drug-free workplace, volunteer code of conduct, and confidentiality, and I will abide by these policies while volunteering at The Boston Rescue Mission. Further, I understand that any violation of these policies may seriously jeopardize my volunteer position at The Boston Rescue Mission.

Agreement*

I agreeI disagree

Today's Date*

Date

Would you like to sign up for Boston Rescue Mission's e-newsletter?*

YesNo