Volunteer Application Form for Non-Profit

Aluna Bridge

Volunteer Application Form
Aluna Bridge is a 501(c)(3) nonprofit whose mission is to offer non-medical, compassionate, hospice care and support to women and children who are also experiencing housing insecurities. We hold sacred space for our underserved community members to spend their remaining days in a REAL home, surrounded by care companions who offer unconditional love, comfort, and dignity. We help our residents find honor and purpose in the life they have lived and help guide them towards inner peace and calm as they transition out of this world and into the next.

Knowing that many of our residents come to us after living out on the streets or in the wilds of tent camps and forests, our Guesthouse and entire nonprofit model is inspired by the cycles and seasons of nature, calling in the gentle rhythmic reminders of just how interconnected we as humans are with our nature allies and the greater mysteries of the earthly plane that has been hosting wee humans for thousands of years. It is through the buzz of bee hives, the honks of geese flocks and gentle gathering of bunnies and butterlies that we see the importance of community and the guidance of the Divine, leading us through our beautiful messy lives.

We welcome volunteers who share our mission and want to help us hold this sweet, sacred container. We believe that tending the Holy threshold of dying and bereavement is not only a gift to our Residents, but is also a gift to all who witness the greater mystery of death and the many ways it can become a portal to deeper reflection for ALL as to what it means to really live as stewards on this planet.
Name*

PronounsFirst NameLast Name
Birth Date

MonthDayYear
IMPORTANT: Applicants who are younger than 16 years of age will need to be accompanied by a parent or guardian. Please have them also complete an application and note your name in the comments section at the bottom of the form.
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
College/School
Department/Field
Occupation
Company
Department/Position
Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to applicant
How did you hear about Aluna Bridge & Guesthouse?
Name of referral source:
We would like to thank them!
Why are you interested in volunteering at Aluna Bridge & our Guesthouse?
Have you ever worked as a volunteer before? If yes, please share organization, length of involvement and duties performed:
What experience have you had with hospice, death, dying and/or bereavement?
Please share any concerns, fears or apprehensions you may have concerning holding space for persons who are in the last stages of life or working with the bereaved.
In which areas would you like to volunteer?
Do you have any health concerns or physical limitations that would restrict the volunteer work that you choose to do? If yes, please explain.
Availability

Dates & Times you are available to help
If volunteering for Companion Care at Aluna Guesthouse, are you willing to commit to a four hour or greater shift each week or every other week (part of a structured schedule)? If Yes, please note day(s) of week and shift(s) available below:
Select your available day(s)

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
Select available shift(s)
Are you available to volunteer on holidays?
References

Please list two references we have permission to contact:
Reference #1:

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you know this person?
Reference #2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you know this person?
Additional thoughts or concerns you feel we need to know concerning your volunteer application:
Background Check Information:

Required if volunteering at Aluna Bridge & Guesthouse
To ensure the safety of our home, volunteering at Aluna Bridge & Guesthouse requires a background screening. The cost for screening is $45.00 (nonrefundable) to be paid by the applicant as part of the application process. If you are experincing financial hardships and still wish to apply, please advise the Executive Director as there are a limited number of hardship scholarships available to cover all/portion of these costs.

Background checks are completed through our partnership with the third party platform CLEAR CHECK. This platform offers the safety and security of the FCRA and SOC2 compliance standards that are used in the banking industry.

After the screening fee is paid, you will receive a secure link from CLEAR CHECK via email to start the process. You will be able to also use the link to track the status of the screening. Most screenings are completed within 48 hours.
Background Screening Payment

We will reach out with additional instructions for payment AFTER we have reviewed your application and approved your placement contingent upon background screening clearance.
Identification

For safety reasons, please add photo of a state issued/government ID (Drivers License, Student ID, etc.). When volunteering, please bring the same ID to cross reference with your approved application when you arrive for service.
FRONT OF CARD
BACK OF CARD (if applicable)
Confidentiality & Release Agreements

Please carefully review the terms and conditions outlined below and electronically check the box if you agree.
1. In my role as an Aluna Bridge Inc. volunteer, I understand the need for confidentiality and do hereby agree to honor said policy. All matters discussed will remain confidential, exept those matters related to instances of harm or threat of harm to any person, or in the case of suspected abuse or neglect.
2. I hereby authorize Aluna Bridge Inc. to release my photograph for publication. I understand that any prints or slides made while involved in a volunteer activity shall be used by Aluna Bridge Inc. for the purpose of volunteer recruitment, promotional use, and/or educational purposes.
3. I hereby agree to allow Aluna Bridge Inc. to conduct a background check unless one can be made available through my employer or educational institution. I agree to pay up to $45.00 for the cost of the background check. (Please notify the Executive Director if this is a hardship and financial assistance is needed.)
4. I hereby release and discharge Aluna Bridge Inc., it's agents, board members and officers from all claims, demands, actions and judgements which I have against Aluna Bridge Inc. and its Guesthouse for all personal injuries either physical or emotional, known or unknown and injuries to property, real or personal, sustained during my participation as a volunteer, whether the injury is due to negligence or any other fault.
5. I, the undersigned, have read this Release and understand all of the terms. I am over eighteen (18) years of age and have voluntarily entered into this agreement. ***For those under 18, agreement must be co-signed by parent or guardian.
Volunteer Applicant Date & Signature
Date

MonthDayYear
Date
Signature

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Parent/Guardian Date & Signature

If Volunteer Applicant is younger than 18 years of age
Date

MonthDayYear
Date
Signature

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Should be Empty:

Aluna Bridge

IMPORTANT: Applicants who are younger than 16 years of age will need to be accompanied by a parent or guardian. Please have them also complete an application and note your name in the comments section at the bottom of the form.

Educational Background

Occupation

Emergency Contact

Availability

References

Background Check Information:

Background Screening Payment

Identification

Confidentiality & Release Agreements

Volunteer Applicant Date & Signature

Parent/Guardian Date & Signature