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ABOUT US
OUR IMPACT
PROGRAMS & SERVICES
CLIENTS RESOURCES
GET INVOLVED
EVENTS
NEWS & INSIGHTS
ABOUT US
OUR IMPACT
PROGRAMS & SERVICES
CLIENTS RESOURCES
GET INVOLVED
EVENTS
NEWS & INSIGHTS
GET HELP
HIRE A CLIENT
DONATE NOW
ABOUT US
OUR IMPACT
PROGRAMS & SERVICES
CLIENTS RESOURCES
GET INVOLVED
EVENTS
NEWS & INSIGHTS
ABOUT US
OUR IMPACT
PROGRAMS & SERVICES
CLIENTS RESOURCES
GET INVOLVED
EVENTS
NEWS & INSIGHTS
Name:
(Required)
First
Middle Initial
Last
Date of Birth (MM/DD/YY):
(Required)
MM slash DD slash YYYY
Age:
(Required)
Gender:
(Required)
Preferred Phone:
(Required)
Alternate Phone:
(Required)
Best time to reach you:
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Best time to reach you:
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Email:
(Required)
Address
(Required)
Street
City
State
ZIP
Driver’s License/ID Number (Please provide a copy to H.I.R.E.)
(Required)
State of Issuance:
(Required)
In Case of Emergency Contact (Full Name):
(Required)
Relationship:
(Required)
Emergency Contact Phone
(Required)
Are you: (Check all that apply)
(Required)
Retired
Working Full Time
Working Part Time
Student
Not Working
If retired, from what profession:
(Required)
If working, who is your employer? Location?
(Required)
Describe your Duties:
(Required)
Does your employer have a volunteer program?
(Required)
Yes
No
Unsure
Does your employer have a charitable give program?
(Required)
Yes
No
Unsure
Education: (Highest level completed)
(Required)
Elementary School
High School
College graduate
Post Graduate / PhD
School and Major or course of study:
(Required)
If currently in school, what school are you attending? What are you studying?
(Required)
Do you have any of the following special skills/areas of interest? (Please check all that apply)
(Required)
Social Work
Teaching/Training
Receptionist / Phone Support
Customer Service
Public Speaking
Volunteer Management
Donation/Donor Management
Accounting
Computers / IT
Video Production
Website Design
Photography
Social Media
Marketing/Public Relat
Special Events
Community Outreach
Fundraising
Copy Writing
Grant Writing/Research
Graphic Design
Data Entry
Other
Other skills not listed:
(Required)
Have you worked or volunteered with HIRE before? If yes, what department/position/when?
(Required)
Is anyone else in your household a volunteer or employee for HIRE?
(Required)
Yes
No
If yes, who/when:
(Required)
How did you hear about HIRE? (Please be specific)
(Required)
Please list any prior volunteer experience (include location and dates):
(Required)
Current Community Affiliations (Faith-Based, Clubs, Service, etc.):
(Required)
Specify Your Availability
Specify your availability
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Monday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Tuesday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Tuesday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Wednesday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Wednesday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Thursday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Thursday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Friday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Friday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Saturday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Saturday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
Sunday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
From
Sunday
(Required)
Hours
:
Minutes
AM
PM
AM/PM
To
(Please notify the HIRE Volunteer Coordinator of any changes in availability)
How many months can you commit to volunteering?
(Required)
Any potential conflicts with scheduling (ex. Vacations, Leave, Family Time etc.):
(Required)
Do you speak any languages other than English? (Please list language(s)/fluency level)
(Required)
Can you perform the essential function of the volunteer role you seek, with or without a reasonable accommodation?
(Required)
Yes
No
Please describe any accommodation(s) needed
(Required)
What personal or professional goal(s) would you like to achieve while volunteering with HIRE?
(Required)
Volunteer Application Acknowledgement
Untitled
(Required)
I understand that all equipment, materials, and supplies donated to HIRE or purchased by HIRE are property of HIRE and may not be removed without permission. I understand that failure to comply with this policy may result in disciplinary action, which could include termination from the volunteer program.
Untitled
(Required)
I affirm that I will maintain the utmost level of confidentiality with regards to any HIRE proprietary information including but not limited to: program information; donor records; staff records; partner/community records; contact information; financial information etc. and that I will not use any HIRE information or contacts for my personal or professional use (outside of HIRE).
Untitled
(Required)
I affirm that all information on this application are true and correct and that I have not knowingly withheld any fact or circumstance that could, if disclosed, affect my application unfavorably.
Untitled
(Required)
I understand that I will be servicing/assisting HIRE organization/clients on a volunteer basis and will not be remunerated for services rendered.
Untitled
(Required)
I understand that as a volunteer of HIRE, my image may be captured in photographs and/or videotapes. I acknowledge that HIRE reserves the right to use and edit any such image for nonprofit and educational purposes, including marketing, publicity, and advertising on behalf of HIRE. By signing below, I acknowledge I will hold harmless the HIRE organization, program, staff, and other volunteers from any liability in connection with the documenting or use of my image and that I will receive no compensation in relation to this policy.
Untitled
(Required)
I authorize HIRE permission to release information about my participation in the volunteer program including information that might be solicited on my behalf for reference purposes. Such information may include, but not be limited to length of service, volunteer responsibilities, and quality of participation.
Untitled
(Required)
I understand the above contract and agree to comply with all HIRE polices and regulations.
I acknowledge that I have read and understand the terms above and that this application is only the first step in volunteerism with HIRE. An interview will be scheduled to enhance my understanding of HIRE programs and expectations as well as provide HIRE with more information on my skills, interests and expectations.
Print Name
(Required)
Date
(Required)
MM slash DD slash YYYY
Signature
(Required)
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