Please complete this application form in order to become a Mothers Helping Mothers, Inc. volunteer. Once you complete the form, click the Continue button at the bottom.


Contact Information


Messages - Email & Text

We would like to send reminders via text for shifts that you have signed up for or if we need volunteers to fill open shifts. Please opt-in if you would like to receive these reminders.



Emergency Contact

In the event of an emergency whom should we notify?



Client

Are you currently a client at MHM?



Other Information


Current volunteers

If you are a current volunteer please enter the approximate month and year you started volunteering



Skills & Experience

In which of these areas do you feel you have interest or experience? Check all that apply.



Availability

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



Assignment Preference

The following volunteer assignments are currently available. For the assignments in the store (not the office) you may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.



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.



I Agree

VOLUNTEER CONTRACT
I will be participating as a volunteer (hereafter the “activity”) at Mothers Helping Mothers, Inc. (MHM) a 501(c)(3), all volunteer nonprofit organization in Sarasota, Florida.
POLICY: Absolutely no shopping is allowed while volunteering during work days or on days of operation. The same rules which apply to our clients also apply to our volunteers. You are permitted to shop once every four months on a day when you are not volunteering. You will register as a client, sign in and shop for yourself and your immediate family. I understand that I am not allowed to remove any donated items from Mothers Helping Mothers while working as a volunteer. Violation of this policy will result in termination as a volunteer. No exceptions.
LIABILITY WAIVER: I recognize that there are risks involved in participating in this activity or any activity and hereby assume all risk of injury, harm, damage, or death in connection with my participation as a volunteer. I understand and agree that neither Mothers Helping Mothers, Inc., nor its trustees, officers, directors, agents or representatives may be held liable in any way for any injury, harm, damage, or death that may occur to me as a result of my participation in this activity and hereby release MHM, its trustees, officers, directors, agents and representatives from any injury, harm, damage or death, which may occur while I am participating as a volunteer. To the fullest extent permitted by law, I agree to save and hold harmless MHM, its trustees, officers, directors, agents and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my participation in the activity.
MEDICAL: I authorize Mothers Helping Mothers, Inc. through its trustees, officers, directors, agents or representatives to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in this activity.
MEDIA RELEASE: I also hereby grant full permission to any and all the foregoing to use my name and/or likeness in any broadcast, telecast, video, or print media reporting and/or publicity without compensation.
I acknowledge that I have read this “waiver and release“ and fully understand that it is a release of liability. By clicking I AGREE below, I am waiving any right I may have to bring legal action to assert a claim against Mothers Helping Mothers, Inc., and its officers. By submitting this form, I attest that the information I have provided on the form is true and accurate.