Please complete this application form if you are interested in becoming a Presbyterian Night Shelter volunteer. Once you complete the form, click the Continue button at the bottom.
Name and address
How many Members in your group:
If your group will serve more than once, you will usually send...
The same volunteers each time
Different volunteers each time
OK to call me here
OK to call me here
OK to call me here
Date of birth:
Please indicate the days and times you are usually available to volunteer.
List below the specific shelter you would like to volunteer at (example Presbyterian Night Shelter, Safe Haven, Patriot House):
Please provide us with one emergency contact.
OK to call here
OK to call here
OK to call here
E mail Preferences
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however we will not send you any email you prefer not to receive. Use the check boxes below to select the kinds of email you would like to receive from us.
Once you are assigned to a task we will send you e mail reminders. To look at your schedule you will need a password. Please complete the password section below.
Please enter a password that:
Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.
What kinds of email would you like to receive?
Special skills or training
Special needs, restrictions or medical conditions
Have you ever volunteered at PNS?
How did you hear about our agency?
Volunteer Confidentiality Statement
I understand that as a volunteer I must keep any and all information about Presbyterian Night Shelter / True Worth Place guests and the agency confidential. I agree to maintain all confidential information obtained during my volunteer
Covid Waiver, Release and Assumption
I hereby voluntarily, at my own risk, sign this Waiver, Release, and Assumption of Risk Agreement. I hereby acknowledge and understand that there are dangers and risks associated with the Activity, specifically including, though not limited to, exposure to and illness from infectious disease such as COVID-19. I understand particular rules or personal discipline may reduce the risk of contracting COVID-19; however, the risk does exist. I further understand there are risks associated with attendance at such a function such as physical injuries or death or loss or damage to personal property, such as from slips or falls.
By signing this Waiver, Release, and Assumption of Risk, I knowingly and freely assume all such risks, both known and unknown, relating to my attendance at the Activity and assume full responsibility for my participation. I willingly agree to abide by all rules, instructions, policies and procedures imposed by Presbyterian Night Shelter.. If, however, I observe any unusual or significant hazard during my participation or presence at the Activity, I will remove myself from participation and bring such hazard to the attention of the nearest Presbyterian Night Shelter officer immediately. I further release, waive, relinquish, and discharge Presbyterian Night Shelter, along with its officers, directors, agents, and employees (“Representatives”) from any and all claims, demands, liabilities, damages, expenses, and causes of action of whatever kind or nature, whether known or unknown, foreseen or unforeseen (collectively, “Damages”) as a result of my attendance at and participation in the Activity.
I further promise not to sue Presbyterian Night Shelter or the Representatives and agree to indemnify and hold them harmless from any and all Damages resulting from my participation in the Activity. I hereby certify that I am of legal age and competent to execute this Waiver, Release, and Assumption of Risk Agreement and that I am doing so of my own free will and accord, voluntarily and without duress, intending to bind myself, my executor, my heirs, and administrators or assigns to the fullest extent.
I HAVE READ AND UNDERSTOOD THE FOREGOING, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I MAY BE GIVING UP IMPORTANT LEGAL RIGHTS BY SIGNING, AND ACKNOWLEDGE MY CONSENT TO THE TERMS OF THIS WAIVER, RELEASE, AND ASSUMPTION OF RISK AGREEMENT BY MY SIGNATURE BELOW.
Release and Waiver of Liability and Hold Harmless
I HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge Presbyterian Night Shelter of Tarrant County (PNS), True Worth Place (TWP), and its agents, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, cause of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to my participation in the events and activities conducted by, on the premises of, or for the benefit of PNS or TWP.
I understand that the activities and functions in which I participate are of a volunteer nature, or for the benefit of a 501(c)3, and/or dangerous and may cause grievous injuries, including bodily injury, damage to personal property, sickness, and/or death. On behalf of myself, my heirs, my assigns and next of kin, I waive all claims for damages, injury and death sustained by me or my property that I may have against the aforementioned released party to such activity.
I assume any risk, and take responsibility and waive any claims of personal injury, sickness, death or damage to real or personal property including, but not limited to any sickness, volunteer activities, community events and/or engaging in organizational functions and activities for non-profit engagements or functions and fundraisers or other related activities on or off the premises.
Medical treatment: The volunteer does hereby release and forever discharge Presbyterian Night Shelter and/or True Worth Place from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with the volunteer’s activities with Presbyterian Night Shelter and/or True Worth Place.
Insurance: The volunteer understands that, except as otherwise agreed by Presbyterian Night Shelter and/or True Worth Place in writing, Presbyterian Night Shelter and/or True Worth Place does not carry or maintain health, medical or disability insurance coverage for any volunteer.
Photographic release: The volunteer does hereby grant and convey unto PNS or TWP all right, title, and interest in any and all photographic images and video or audio recordings made by PNS or TWP during the volunteer’s activities with PNS or TWP, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.
Transportation: Individual volunteers should not provide transportation to clients. (This does not apply to volunteer groups participating in the Adopt-a-Client and Client Mentoring program. Presbyterian Night Shelter and/or True Worth Place does allow church groups to transport clients to church and/or special events but the trip must be approved through the volunteer coordinator).In those cases, all drivers are required to carry automobile liability insurance pursuant to minimum statutory requirements in the State of Texas. All drivers must also carry a valid driver’s license in their vehicles at all times. Presbyterian Night Shelter and/or True Worth Place will not be liable for any accidents, injuries, death or damages, to persons or property, involving volunteer drivers, their passengers, or any third parties, whether for shelter related or non-related activities. Volunteers also must sign in/out each time he/she transports a client.
I understand that as a volunteer I must keep any and all information about Presbyterian Night Shelters guests and the agency confidential. I agree to maintain all confidential information obtained during my volunteer service once I have left the agency.
Presbyterian Night Shelter may request a comprehensive review of your background information from a consumer reporting agency in connection with you employment/volunteer application and for employment/volunteer purposes, including promotion, reassignment, or retention as an employee or volunteer. Your background information may be obtained in the form of consumer reports and/or investigative consumer reports. These reports may be obtained at any time after receipt of your authorization and, if you are selected by the organization, throughout your volunteering or employment VeriFYI, 2800 Live Oak Street, Dallas Tx. 75204, 214-818-9839, and its designated agents and representatives or another consumer reporting agency will prepare or assemble the reports. The scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: consumer credit, names and dates of previous/current employment, worker’s compensation claims, criminal history records (from local, state, federal, international and other law enforcement agencies’ records) sexual offender’s lists wants and warrants records, motor vehicle records, military records, education verification, license verification civil cases, OIG/GSA, OFAC/patriot act, any sanction lists, finger printing and drug testing. These reports may include information as to your general reputation, character, personal characteristics, mode of living, work habits, job performance and experience along with reasons for termination of past employment from previous employers. You may request more information about the nature and scope of any investigative consumer reports by contacting the organization. A summary of your rights under the Fair Credit Reporting Act is also being provided to you.
Authorization and Release
I authorize the complete release of these records or data pertaining to me which an individual, organization, firm, corporation, institution, school or university, law enforcement or public agency may have. I authorize the full release of the information described above, without any reservation, throughout any duration of my employment/volunteering at the organization. I release all persons or entities from liability from any alleged damage that may result from furnishing accurate information in good father to the organization.
I certify that all the information provided below is true and accurate to the best of my knowledge. This authorization and consent shall be valid in original, facsimile or copy form.
The following information is required by law enforcement agencies and other entities for identification purposes when checking records. It is confidential and will not be used for any other purpose.
I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing release and waiver of liability and hold harmless agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least 18 years of age and fully competent; and I execute this release for full, adequate and complete consideration fully intending to be bound by the same.
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