Hosanna Group Volunteer Form 2024
Thank you for your willingness to volunteer with Hosanna Industries. In order for us to best provide for you we need to gather some information regarding, safety, lodging accommodations (if applicable), contact data and more. This form is critical to better serve you as a volunteer and to better serve those in need. 

Contact Becky Hetzer with any questions or concerns rjhetzer@gmail.com or at (724)822-7862. 

  • Please understand that Hosanna Industries determines each job based on the number of volunteers projected by the volunteer group leader. Failure to bring this number of participants will affect how that particular job is accomplished and thus altering the program of Hosanna Industries. We understand that you need to complete sign-ups, but please also understand that we need to choose an appropriate job for your size group.
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Group Name  *
Start Date (confirmed with Hosanna)  *
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DD
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YYYY
Ending Date (confirmed with Hosanna)  *
MM
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DD
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YYYY
Group Leader (first and last name) *
Group Leader Phone Number *
Group Leader (or group) Address  *
Group Leader Email Address *
Number of Participating Volunteers *
Age Range of Volunteers *
Number of Adult Chaperones (PA clearances and background checks required) *
Number of those chaperones able to be on a 1-story low-pitch roof
*if not applicable put 0
 *
Number of those chaperones able to be on an extension ladder for painting and siding
*if not applicable put 0
 *
Number of Students 18 and over (PA clearance and background check required)
*if not applicable put 0
 *
Number of students 18 + able able to be on a 1-story low-pitch roof
*if not applicable put 0
 *
Number of students 18+ able to be on an extension ladder for painting and siding 
*if not applicable put 0
 *
Number of students 15-17 years of age 
*if not applicable put 0
 *
Number of students 15-17 years of age able to be on a 1-story low-pitch roof 
*if not applicable put 0
 *
Number of students 15-17 years of age able to be on an extension ladder for painting or siding 
*if not applicable put 0
 *
Number of students 11-14 years of age 
*if not applicable put 0
 *
Number of students 11-14 years of age able to be on a 1-story low-pitch roof 
*if not applicable put 0
 *
Number of students 11-14 years of age able to be on an extension ladder for painting or siding 
*if not applicable put 0
 *
Number of students 8-10 years of age 
(must be discussed with Becky prior to arrival) 
*if not applicable put 0
 *
Participating Volunteers:
Please list the first and last names of ALL individual volunteers both adult and young adult. This will allow us to properly cross reference those with each individual form, to ensure each person is accounted for. 
 *
Are you willing to travel to Johnstown PA?
* The Hosanna Mission has a 5 year home repair initiative in Johnstown PA. Many times the work is better suited for volunteer groups. 
 *
Required
I, the undersigned, permit use of photos and/or video images portraying myself in publications promoting Hosanna Industries, Inc.
 *
Required
Austin Lodge 
The Austin Lodge is a great place to stay as a volunteer group. 
Capacity is 25 people 
Cost: $200 REFUNDABLE deposit  
          $30 per night per person 
Is your group staying in the Austin Lodge  *
Austin Lodge Agreement
There is a cost of $30 per person per night to stay in the dorm, and a $200 group security deposit. (The security deposit is refundable if the number of reservations is honored, no physical damage has been done to any Hosanna Industries property, and all forms and monies were turned in on time.) Because there is a great demand from groups wanting to volunteer with Hosanna Industries, your group's reservation cannot be confirmed until all correct monies and forms have been received by Hosanna Industries. All correct monies, forms, and any required clearances must be received no later than 4 weeks prior to your scheduled date.
Do you accept these conditions? 
 *
Required
Austin Lodge Payment 

You can pay online at www.hosannaindustries.org/donate 
or you can mail a check: c/o Becky Hetzer

Made Payable to Hosanna Industries 
PO BOX 719 Gibsonia PA 15044 
Statement of Understanding
Hosanna Industries actively reserves the right to dismiss any individual or group which it finds to be in opposition to our mission’s values and principles. Rough behavior, aggression and or violence, lack of cooperation and or suitable diligence, insufficient respect and regard for Hosanna’s leadership and long-term investment in the charitable field of our calling and or a poor relational disposition are unacceptable to Hosanna Industries and will unfortunately result in immediate dismissal.
 *
Required
Hosanna Volunteer Agreement 
WHEREAS, the Organization has requested permission from Hosanna Industries, Inc. (“Hosanna”) to use their facilities as set forth in separate documents; WHEREAS, as a condition of the use of the facilities, the Organization has agreed to release and indemnify Hosanna Industries regarding any liability which results from the Organization’s use of the facilities. NOW, THEREFORE, intending to be legally bound hereby and in consideration of permission to use the facilities of Hosanna, the Organization does hereby agree as follows: 1. The Organization completely and fully releases Hosanna from any and all claims, action, liabilities or demands against Hosanna that arise out of or any way relate to the Organization, its properties, volunteers, guests, employees, agents or any other affiliated parties in using the facilities of Hosanna. 2. The Organization shall defend, indemnify and save and hold harmless Hosanna from and against all loss, damages, suits, liability, claims, demands or cost resulting from any injury, harm or damages to persons or property in connection with the use by the Organization of Hosanna’s facilities, including any injury, damages or harm proximately caused by any act or omission of the Organization in connection with the use of the facilities. The Organization shall assume full responsibility for, and handling of, any such damage, suit, liability claim, injury or demand arising out of any such indemnified acts or omissions of the Organization in connection with the use of the facilities, including payment of all expenses, counsel fees, judgments and/or settlements incurred in connection therewith, provided that Hosanna shall have the right to reasonably approve legal counsel employed to defend it in any such action and to reasonably approve any proposed settlements. 3. The Organization agrees to properly supervise, control and monitor any and all individuals using Hosanna facilities and shall abide by all rules, regulations and policies of Hosanna, and shall further require all individuals using said facilities to do so in a safe, reasonable manner.
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Required
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