Please complete this application form if you are interested in becoming a short or long-term Friendly House volunteer. Once you complete the form, click the submit button at the bottom.


Contact Information


EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Affiliations


Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.



Assignment Preference

Volunteer assignments may or may not currently be available. Click assignment names to learn more about that assignment. You do not need to rank every activity.



Availability

Please indicate the days and times you are usually available to volunteer.



Residency


Demographics


Emergency Contact

In the event of an emergency whom should we notify?



References

Please provide at least one reference who can verify your character and abilities to be a successful volunteer.



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



Volunteer Agreement

I understand and agree that submitting this application form does not automatically register me as a Friendly House volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

This declaration affirms my understanding that all client information obtained by Friendly House staff or volunteers shall be considered confidential and not divulged for any purpose not directly connected with the administration of the program or required monitoring and evaluation for the purpose of compliance with county, state and/or federal funding requirements, except upon written consent of the recipient or the recipient’s attorney, responsible parent, or guardian.


I acknowledge there are certain inherent risks serving as a volunteer, including but not limited to physical injury and death. I acknowledge that all risks cannot be prevented and I assume those beyond the control of Friendly House, Inc. faculty and staff. I represent that I am physically able, with or without accommodation, to participate in volunteer service, and that I am able to use the equipment and/or supplies described. Should I require emergency medical treatment as a result of accident or illness arising during volunteer work, I consent to such treatment. I acknowledge that Friendly House, Inc. does not provide health and accident insurance for volunteers and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I will notify Friendly House, Inc. staff at my volunteer site in writing if I have medical conditions about which emergency medical personnel should be informed.


I consent to, and authorize the taking, use, and reproduction of images and audio, of me (or of my child/children) at Friendly House by any Friendly House employee or by any media entity or individual hired by Friendly House. I understand that we will not be compensated for the use of our images. I agree that the images or audio can be altered for use in printed or electronic presentations and that Friendly House may copyright the images. This release shall remain in effect unless and until I notify Friendly House of my revocation in writing, and agree that such revocation will apply only to materials, presentations, or publications produced or printed by Friendly House after receipt of my written notification.


By submitting this form, I attest that the information I have provided on the form is true and accurate.