Online Volunteer Application Form Name *
Street Address *
City *
State *
Zip Code *
Phone (Home) *
Phone (Work)
Phone (Cell)
Date of Birth *
E-Mail *
Group/Organizational Affiliation
AVAILABILITY
Please write in any special scheduling needs or requests
Availability
Interests
Learn Links
Family Activity Host (special classes, art projects, field trips, movie nights, etc.)
Mentor/Tutor
Kitchen Volunteer (cooking, helping set up meals, serving, cleaning up)
Kitchen Volunteer Leader (coordinating with community partners and other volunteers - 10 hr/mo commitment)
Donations Volunteer (receiving and sorting clothing donations, every Tuesday)
Donations Volunteer Leader (coordinating and organizing donations - 10 hr/mo commitment)
Volunteer Intern (coordinate with managers, staff, and volunteers, create programming - 10hr/week commitment)
Other
Other (explained)
Special Skills or Qualifications
Name *
Relationship *
Street Address *
City *
State *
Zip Code
Phone (Home) *
Phone (Work)
E-mail
PHOTO RELEASE
In order to promote the work of Human Solutions to the community, photos may be taken at events. These photos may include pictures of clients, volunteers, employees, contractors, or any other representative or agent of Human Solutions. Please check one of the boxes below.
I authorize Human Solutions to publish photographs taken of me for use in their printed publications/website and I authorize the media to use/publish my personal information and my testimonial at no financial compensation to me.
Photos may be taken of me in accordance with above; however, I prefer that I not be identified by name in any photographs.
I specifically request that my name and picture not be published.
OUR POLICY
HSI provides equal opportunities without regard to race, color, citizenship, religion, national origin, age, gender, marital status, sexual orientation, gender identity, disability, veteran, current or future military status, or other protected category.
AGREEMENT
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my not being able to be a volunteer at Human Solutions. Additionally, I understand that my volunteer opportunities may end, with or without cause, at any time at the option of Human Solutions or myself.
I agree to indemnify Human Solutions against all claims, demands, judgments and executions that may arise from my volunteer actions, whether or not said claims, demands, judgments and executions are discovered during my volunteer work.
I understand that with every volunteer experience there are certain inherent risks and agree to hold Human Solutions harmless from all damages as a result of my volunteer experience.
Date of Agreement *
