Esperanza de Tejas Volunteer Sign-Up Form

Full Name (as shown on ID)

First NameLast Name

Preferred Name / Nickname

Date of Birth (MM/DD/YYYY)

Date

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Full Address (Street, City, State, Zip)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Driver’s License Number

State Issued

Upload a clear photo of your current government-issued ID (JPG, PNG, PDF only)

City & County of Residence

Availability

What days and times are you generally available?

What type of volunteer activities are you interested in?

If you selected 'Other', please specify:

Do you have any special skills, certifications, or experience you’d like to share?

Have you ever been arrested, charged, or convicted of a felony?

If YES: Please provide details (charge, year, outcome)

Have you ever been charged with or convicted of a crime involving children, abuse, neglect, or violence?

If YES: Please provide details

Are you currently on probation, parole, or any court-ordered supervision?

If YES: Please explain

Why are you interested in volunteering with Esperanza de Tejas?

Have you volunteered with other organizations before?

If YES: Please briefly describe your experience

Do you have any physical limitations or accommodations we should be aware of?

How did you hear about Esperanza de Tejas?

Would you like to receive updates and newsletters from Esperanza de Tejas?

Emergency Contact Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Volunteer Certification & Consent

Volunteer Code of Conduct & Confidentiality Agreement:

Respectful Behavior

Treat all individuals with dignity, respect, and kindness regardless of race, gender, age, religion, disability, or background.
Refrain from language, jokes, gestures, or conversations that may be perceived as offensive, inappropriate, or discriminatory.

Appropriate Interactions

No inappropriate language, touching, or suggestive behavior with any child, parent, caregiver, staff member, or volunteer.
Physical contact with participants, particularly children, must be limited, respectful, and only when necessary and appropriate.
Any concerns regarding inappropriate behavior must be reported immediately to Esperanza de Tejas staff.

Safety & Boundaries

Follow all safety guidelines provided by Esperanza de Tejas.
Never be alone with a child or vulnerable individual.
Do not transport participants or other volunteers unless explicitly authorized.

Professional Representation

Arrive on time, wear appropriate clothing, and maintain a professional demeanor.
Conduct yourself in a manner that reflects positively on Esperanza de Tejas at all times.

Confidentiality

Respect the privacy of individuals served and do not disclose personal, sensitive, or identifying information.
Do not take photos or videos of participants without express permission from Esperanza de Tejas leadership.

I have read and understand the Volunteer Code of Conduct & Confidentiality Agreement.

I understand that failure to follow these guidelines may result in dismissal from volunteer activities.

I understand that Esperanza de Tejas reserves the right to remove me from any volunteer role if my actions are deemed inappropriate or unsafe.

Electronic Signature

Date

For your privacy, all personal data is kept confidential and protected. Only authorized staff will access your ID and sensitive information. By submitting this form, you acknowledge and consent to this policy.

Esperanza de Tejas Volunteer Sign-Up Form

Section 1: Contact Information

Section 2: Location & Availability

Section 3: Volunteer Interests & Skills

Section 4: Background Information

Section 5: About You

Section 6: Additional Information

Section 7: Emergency Contact

Section 8: Consent & Agreement