Please complete this application form if you are interested in serving as an Ambassador for Dining Out For Life.
If you are a current Lifelong volunteer or have volunteered for DOFL before, simply get in touch with Jeremy Orbe, Lifelong's Corporate Engagement Specialist at email@example.com.
The information you submit through this online form is protected using Secure Sockets Layer (SSL) technology. This means that your information is encrypted as it travels between your computer and our volunteer database. This is the same technology used by banks to protect online banking services and online merchants to protect credit card information. Once your data reaches our volunteer database, it is protected by hardware firewalls, secure servers, database encryption, and other security measures.
This application and your personal information contained therein will not be released outside Lifelong without your express permission.
Please list who you would like to be contacted in case of emergency.
Does your employer offer volunteer grants or a matching gift program?
Are you performing required hours for your school or other program? If so, please list the school/program you are in, the number of hours you need to complete and the due date here.
In order to participate as a volunteer of Lifelong, each volunteer must fill out the information below and sign where indicated. By signing this form you are giving Lifelong and its programs permission to run a criminal background check using your full legal name and date of birth.
Please create a password below. This will allow you to access our online volunteering portal. Through this portal you can sign up for shifts, update your contact information and view your service history.
--Lifelong fully supports the right to privacy of: A) Individuals requesting assistance from and/or utilizing any services of the agency, and; B) people contributing time and/or money to Lifelong.
-- I agree not to discuss, name, or identify by any other means, the characteristics by which a client, volunteer, or donor could be identified. If a problem or question about this arises I agree to bring the matter to the attention of the Volunteer Services Department staff.
-- I agree that by choosing to volunteer for certain Lifelong programs, such programs may be required to share my personal information with partner organizations if deemed necessary to ensure the safety of clients. I understand that I will be notified by the Volunteer Services Department staff of the programs that have such a requirement.
2. Personal Conduct
-- All volunteers are required to conduct themselves personally and professionally in a manner that is fitting and appropriate for members of Lifelong. Each volunteer shall treat agency staff, clients, visitors, and other volunteers with courtesy, respect, and consideration.
-- I agree to refrain from any sexual or inappropriate intimate activities with clients or my immediate supervisors.
-- I agree to refrain from imposing religious or political beliefs on a client.
3. Substance Use
• Volunteers will refrain from the use of recreational drugs and alcohol on agency premises, at any Lifelong events, and with clients.
• I agree to not report for a shift or volunteer job while under the influence of drugs or alcohol. I understand this may jeopardize my safety and the safety of others.
-- I agree to complete the time commitment required by my chosen volunteer program.
-- I agree to notify staff or my program lead if I am unable to report for my shift. If at any time I am unable to continue volunteering, I will let staff know.
5. Release of Information
-- I agree to allow the volunteer department to occasionally rerun a Washington State Patrol Background check and report my volunteer hours to requesting agencies as required. This may include school service-learning programs, court-ordered community-service agencies, or any other program I participate in which requires verification of hours served at Lifelong as well as for governmental reporting.
6. Name and Photo Release
-- I give permission to have my name and photograph used in materials produced by Lifelong. This may include, but is not limited to the following communications produced by Lifelong: an HIV/AIDS case management brochure, social media, newsletters, website, advertisements, etc.