Work that really matters.

Ridding communities of poverty and filling them with the HOPE of the Gospel. This is the work that you are supporting by volunteering with us here at Hope Station. We can’t do it without you!

Name

If volunteering with a group please use the group leader's information

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of years at present address?

Primary Phone

(###)

###

####

Date of Birth

You must be over the age of 16 to volunteer without an adult chaperone present

YYYY

I Will Be Volunteering As A(n)...

In which of Hope Station's ministries are you most interested in volunteering with?

Select all that apply...

Next Steps (Daily Client Advocacy)

Thrive Program (Long Term Transitional Program)

Station Thrift (Thrift Store Supporting Hope Station)

I Am Flexible

A Little About You

Use the space provided to tell us about yourself/your group. What motivates you to volunteer with us?

Do you have any pertinent health related restrictions?

If yes, please explain

Volunteering Frequency

Use the space below to share how often/when you prefer to volunteer with us. If you are not sure that's okay, just give us a rough idea.

EMERGENCY CONTACT INFORMATION

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Emergency Contact's Relationship to Volunteer

Have you ever been convicted of a felony, or for child abuse or sex-related crimes? You need not disclose information regarding convictions that have been annulled, expunged, sealed, pardoned, erased, impounded or restricted (Indiana Second Chance Law)

(DISCLAIMER: A CONVICTION WILL NOT NECESSARILY DISQUALIFY YOU.)

If yes, please explain

Background Check

We require backgrounds for all employees and volunteers, please check yes if you consent to a background check. If no, please come in to our office for a meeting.

Yes

Please Read Thoroughly

I, _________________________, hereby agree to accept a position as a volunteer for HOPE STATION/STATION THRIFT, either individually or as the representative of a group of volunteers. I acknowledge that I have read and accept these conditions. I hereby release HOPE STATION/STATION THRIFT, a non-profit corporation organized and existing under the laws of the State of Texas, and each of its directors, officers, and agents. The volunteer(s), whether acting individually or as part of a group I represent, desires to provide services for HOPE STATION/STATION THRIFT and engage in activities related to serving as a volunteer by performing associated duties. Volunteers understand that the scope of the relationship with HOPE STATION/STATION THRIFT, whether as an individual or part of a group I represent, is limited to a volunteer position and that no compensation is expected in return for services provided. HOPE STATION/STATION THRIFT will not provide any benefits traditionally associated with employment to volunteers; and each volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of volunteer services to HOPE STATION/STATION THRIFT. (1) Waiver and Release: I, the volunteer, or as the representative of a group of volunteers, release and forever discharge and hold harmless HOPE STATION/STATION THRIFT from any and all liability, claims, demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise for the services I, the volunteer, or the group of volunteers I represent provide to HOPE STATION/STATION THRIFT. I understand and acknowledge that this Waiver and Release discharges HOPE STATION/STATION THRIFT from any liability or claims that I or the group of volunteers I represent may have against HOPE STATION/STATION THRIFT with respect to bodily injury, illness, death, or property damage that may result from the services that I or the group of volunteers I represent provide to HOPE STATION/STATION THRIFT or occurring while I or the group I represent are providing volunteer services. (2) Insurance: Further, I understand that HOPE STATION/STATION THRIFT does NOT assume any responsibility for or obligation to provide me, the volunteer, or the group I represent, with financial or other assistance, including but not limited to medical health or disability benefits or insurance of any nature in the event of such injury or medical expenses incurred by me or any group volunteer. (3) Medical Treatment: I hereby release and forever discharge HOPE STATION/STATION THRIFT from any claim whatsoever which may arise or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with any emergency during my tenure as a volunteer or during the volunteer services provided by the group I represent with HOPE STATION/STATION THRIFT. (4) Assumption and Risk: I understand that the services that I, the individual volunteer, or the group I represent, provide to HOPE STATION/STATION THRIFT may include activities that may be hazardous to me or the group, including but not limited to infectious diseases, hazardous chemicals, slips, trips, and falls. I hereby expressly assume the risk of injury or harm from these activities and release HOPE STATION/STATION THRIFT from all liability for injury, illness, death, or property damage resulting from the services that I, as an individual, or the group I represent provide or occurring while I or the group I represent are providing volunteer services at HOPE STATION/STATION THRIFT. (5) Photographic Release: I grant and convey to HOPE STATION/STATION THRIFT all the right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by HOPE STATION/STATION THRIFT in connection with my providing volunteer services to HOPE STATION/STATION THRIFT, or as part of a group of volunteers I represent. (6) Dress Code and Professionalism: As a volunteer with HOPE STATION/STATION THRIFT, whether volunteering individually or as part of a group I represent, I understand that I am a representative of the organization and personal cleanliness and good grooming are essential. My personal appearance and dress should be clean, neat, and professional at all times. I understand that my conduct should also be professional, and that foul language and rowdiness will NOT be tolerated. I understand as well, good customer service is expected of me and the group I represent when speaking to clients or donors. (7) Other: As a volunteer, I expressly agree that this Waiver and Release is intended to be as broad and inclusive as permitted by the laws of the state of Texas and that this Release shall be governed by and interpreted in accordance with the laws of the state of Texas. I agree that in the event that any clause or provision of this Waiver and Release is deemed invalid, the enforceability of the remaining provisions of this release shall not be affected.

By checking this box, I acknowledge that I have read and fully understand the terms of this Waiver and Release and agree to abide by them. I am signing this document either as an individual volunteer or as a representative of a group of volunteers, and I agree that all volunteers in the group I represent are also bound by this Waiver and Release.