Please complete this application form then click the submit button at the bottom. If you intend to volunteer with a group, please let us know.

Group Affiliation

Please identify the group you will be volunteering with here at the Shelter.

Group Affiliation:

If you do not see the name of your group listed, please write in the name of your group.

Contact information

Please provide the following contact information.

First name:

Last name:

Middle initial:

Preferred Name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home/Cell phone:

* OK to call me here

Email address:

Employer or School:

Occupation or Area of Study:

Volunteer Type

Please select if you are an adult or youth (12 - 17 years old) volunteer. If you are a youth volunteer, the consent of your parent/guardian(s) is required to complete this form and you must be accompanied by an adult on every volunteer shift at the Shelter.

Type:

Youth volunteers, please provide the name and phone number of the parent/guardian who has given consent for you to volunteer at the Shelter.

Volunteer History

If you are a returning volunteer, please indicate the month and year you started volunteering at the Shelter. Please approximate if you do not remember exactly when you started volunteering. If you are a new volunteer, please leave this section blank.

Started Volunteering (Month & Year):

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Home/Cell phone:

Relationship:

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Your username will be the e-mail address you provided above. Please select the password you would like to use to access the online Volunteer Information Center.

Please enter a password that:

Is between 6 and 30 characters long
Contains both letters and numbers.

Password:

Confirm password:

Availability

What days and hours are you available?

More About You

What else would you like us to know?

Volunteer Release & Agreement Statements

By submitting this form, I attest that the information I have provided on this form is true and accurate. If a youth volunteer (under 18 years old), I have received the consent of my parent/guardian(s) and will be accompanied by an adult when volunteering at the Shelter.

Effective 7/12/2021 the Boulder Shelter for the Homeless will require all volunteers 18 years of age or older to be fully vaccinated for COVID-19. All volunteers under the age of 18 who are not fully vaccinated will be required to wear a medical grade mask during any shift in which they volunteer.

I understand and agree that my participation as a volunteer is completely voluntary. As a volunteer, I do not expect to receive, and understand that I will not receive, any salary, compensation, or payment of any kind whatsoever from the Boulder Shelter for the Homeless. I also understand and agree that my participation as a volunteer does not entitle me to any employment type benefits, including but not limited to employment insurance programs, workers' compensation benefits in any form, vacations or personal leave or sick time.

I understand and acknowledge that my participation as a volunteer at the Boulder Shelter for the Homeless exposes me to a risk of personal injury, including serious personal injury or death, and loss or damage to personal property. I hereby agree to release the individual members of the Boulder Shelter for the Homeless staff and Board of Directors, and hold harmless the above persons and organization, against any and all damages, claims, demands, rights, and causes of action of whatever kind and nature, based upon injuries or property damages to, or death of, any person (including without limitation any employee, invitee, resident, or other person), arising out of the use of the facilities on the property or services provided therein or thereon, whether or not caused by any negligence of the Boulder Shelter for the Homeless staff or Board of Directors.

I agree to familiarize myself with Boulder Shelter for the Homeless policies, procedures, and volunteer guidelines and to comply with both the letter and the spirit of these policies, procedures, and guidelines. I fully understand that the Boulder Shelter for the Homeless expects high standards of moral and ethical treatment of any persons placed under its care.

In the event that I am exposed to client information, including but not limited to name, age and mental health status, I understand and agree that such information is strictly confidential. I agree to abide by the Boulder Shelter for the Homeless confidentiality policy and will not confirm the presence or absence of any specific individuals who use Shelter services. I also will not reveal the name or any other identifying information of any Shelter resident to anyone outside of the Shelter.

I fully understand and agree that the Boulder Shelter for the Homeless, at its sole discretion, may terminate my participation as a volunteer at any time and for any reason.

I also grant permission to the Boulder Shelter for the Homeless to use photographs taken of me while volunteering on its website or in other official printed publications without further consideration, and I acknowledge the Shelter's right to crop or treat the photographs at its discretion.

By agreeing here, I attest that I am fully vaccinated for COVID-19 and certify that I have carefully read and fully understand these forgoing Volunteer Release & Agreement Statements.

I Agree