Volunteer Application
Volunteer Application
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Email *
First and Last Name *
Phone Number *
Address *
Email Address *
Birthdate *
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Best way to reach you *
What do you hope to gain from this volunteer experience? *
When are you available to start *
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What days and times of the week are you available for volunteering?
Please list any special skills/training you feel is relevant to volunteering with HHWC *
Do you speak other languages? *
If yes, please indicate language and level of fluency
Do you have any previous volunteer experience? *
If Yes, please explain
Wil you require documentation for your volunteer experience? *
Volunteer Role Preference  - Please indicate which role you would like to fill for holiday events
Have you ever been convicted of a crime? *
Have there been or are there any felony charges against/pending against you? *
Please list a non family member reference.  Include: name, address, phone number, and email address *
Please list a non family member reference.  Include: name, address, phone number, and email address *
Statement of Confidentiality: I agree to respect and maintain the confidentiality of any person including staff, other volunteers, visitors, and participants I may encounter while on HHWC premises or at an off-site project. *
Audio/Visual Release: I hereby give HHWC permission to take pictures of me during my volunteer service for the purpose of promoting the organization's mission and services.  I authorize HHWC to utilize the finished images that pertain to me on a continuous basis for the use of promoting the organization and its mission in printed and/or electronic media. *
Criminal History: We require background checks on all our volunteers.  By signing this Volunteer Application, you agree to having a background check completed by HHWC.  All background checks are kept confidential (paperwork for background check will be emailed to you). *
Terms of Application: Helping Hands Wellness Center offers equal opportunity to all, based upon individual merit and without regard to race, color, religion, national origin, sex, age, height, weight, familial status, marital status or disability, which needing accommodation may be reasonable accommodated as required by law.

I hereby affirm that the responses on this document are true to the best of my knowledge.  I agree that the information may be verified, and references contacted by HHWC.  Misrepresentation of facts constitutes cause for separation from Volunteer Services.

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