Volunteer Registration Form

First Name

Last Name

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Telephone

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

Email

example@example.com

Confirm Email

example@example.com

Date of Birth

Date

When will you be able to start?

Date

Days & Hours available

Please check all opportunities you are interested in:

Employment Status

Occupation

Industry

Employer

Employer Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Have you ever been employed by Project Hospitality?

Highest Education Level

School

Field of Study

Emergency Contact (name, phone, and relationship)

Please include their name, phone number and relationship to you.

Primary Language

Secondary Language

Special Skills

Physical Restrictions

Certification and Agreement

Volunteer Confidentiality and Fraternization Pledge: I am volunteering my time to work at Project Hospitality, Inc. I understand that in the course of my work I may learn certain facts about individuals who are employed by, volunteer for, or are being served by Project Hospitality that are of a highly personal and confidential nature. Examples of such information include, but are not limited to, health status, relations with family members, housing status, sexual orientation, finances, medical condition and treatment, employment status and other personal information. I understand that all such information must be treated with absolute confidentiality as required by. Public Health Law 27F; NYS DOH Regulation Part 50-4; Public Officers Law, Article A; and Project Hospitality’s policies and procedures. I agree not to disclose any confidential information to any person not affiliated with. Project Hospitality and authorized by Project Hospitality to have such information without the written consent of the individual to whom the information pertains. I also understand that Fraternization with clients is unacceptable. In general, Fraternization is deemed for our purposes as developing any relationships with clients, which interferes with the objective performance of our work. Dating between volunteers and clients is also strictly forbidden. If there is any doubt about a situation for possible fraternization, I will consult the supervisor in the area in which I am volunteering or the Volunteer Services Coordinator immediately. I understand that any breach of my obligation to strictly adhere to these policies regarding confidential information and fraternization may result in my immediate dismissal as a volunteer for Project Hospitality.

Volunteer Registration Form

Applicant Information

Availability and Volunteer Interests

Education and Employment

Additional Background and Certifications