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Volunteer Application
Contact Information
Name
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First Name
Last Name
Email
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Verify Email
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Phone
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Text, preference:
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Yes
No
Employment History
Place of Employment
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Job Title:
Work Phone
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May we contact you at work?
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Yes
No
Job Experience
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Accomplishments, Recognition's, Strengths
Volunteer Information
Which volunteer positions are you most interested in? (Please check all that apply.)
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* 20-hour training required
Program Support (Greeters, Parking Lot Attendant, Meal Service & Clean-Up)
Special Events and Fundraisers
Academic Internship
*Facilitator for Generations Family Program (4 month commitment, every other Tuesday evening from 6-8:30pm)
*Facilitator for SOSL, suicide loss program (6 week commitment, every Monday evening from 7-8:30PM)
*Facilitator for HeartPrints, infant loss group (6 week commitment, every Monday evening from 7-8:30 pm)
Group Leader for Hope Camp (One-week commitment **typically in July**)
If you will be recieving "credit" of any type (academic, service group, other) for your volunteerism at The Hope & Healing Place, please describe how many hours you need and for what time period:
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Hours needed and specific time frame in which hours need to be completed
Why is HHP a good place for you to volunteer?
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How did you learn about HHP as a volunteer site?
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Have you experienced a significant death in the past?
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Yes
No
Deceased's Name
First Name
Last Name
Date of Death
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(mm/dd/yyyy)
Cause of Death
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Relationship to You
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The Hope & Healing Place Criminal Background Check
The Hope & Healing Place requires a criminal background check for all volunteer applicants. If there is history or information that would be helpful to share with HHP staff prior to our completing this background check, please talk with us at any time. All conversations are confidential. Once your application has been reviewed and we've confirmed placement availability, you will receive an email to complete your background check with our third-party vendor, VeriFYI.
Background Check Authorization
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The information contained in this application is correct to the best of my knowledge. I hereby authorize and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency to divulge any and all information, verbal or written, pertaining to me, to or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.
Yes
No