Doors of Hope Volunteer Application "*" indicates required fields Step 1 of 5 20% Contact & General InformationThank you for your interest in volunteering with City on a Hill's Doors of Hope program! Please take 5-10 minutes to fill out the below application. Hit "Previous" to view sections you have already completed, and "Next" to continue through the form. Once complete, you'll receive a confirmation email with a copy of your responses and a team member will get back to you shortly with next steps! Name* First Last Birthday MM slash DD slash YYYY Gender Male Female Prefer not to say Other Race White Black Asian/Pacific Islander American Indian Other Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Church or Community Organization Affiliations (if applicable) I am interested in the following Doors of Hope volunteer opportunities Food pantry Front desk Community Teams I'm down for anything! Please select at least one option Background CheckThis section includes preliminary background questions and an authorization for City on a Hill to conduct an official background check.Have you lived outside of Michigan in the last three years?* Yes No Have you ever been convicted of a criminal offense, including traffic offenses?* Yes No Have you been dishonorably discharged from the military?* Yes No Have you ever been accused, charged, or alleged to have committed any act of neglecting, abusing, or molesting any child?* Yes No Please list two non-relative references we can call and/or e-mail below: 1st Reference Name* 1st Reference Email* 1st Reference Phone*Is your first reference a staff member, deacon or elder at the church you attend?* Yes No Which church? 2nd Reference Name* 2nd Reference Email* 2nd Reference Phone*Is your second reference a staff member, deacon or elder at the church you attend?* Yes No Which church? Consent*We conduct criminal history checks through iCHAT, Checkr, and Michigan Department of Corrections. By checking below, you authorize us to conduct such checks. Doors of Hope has permission to make these checks as often as the organization deems necessary. I consent to a full background check. Doors of Hope Volunteer Release and WaiverThis Release and Waiver of Liability (“Release”) is signed on the below date, by or on behalf of the individual named in section one of this form (the "Volunteer") in favor of Doors of Hope, a Michigan nonprofit corporation (“DOH”). The Volunteer desires to work as a volunteer for DOH and engage in the activities related to be a volunteer, including but not limited to, working at DOH’s office(s), work sites, and other locations in the community, and interacting with DOH employees, clients, and other volunteers (the “Activities”). The Volunteer understands that the Activities may include work or interactions that may be hazardous or harmful to the Volunteer or Volunteer’s property, and expressly assumes the risk of injury or harm that may arise from the Volunteer’s participation in the Activities. The Volunteer does hereby release and forever discharge and hold harmless DOH, its directors, officers, employees, volunteers, and agents from any and all liability, claims, and demands of whatever kind and nature, either in law or equity, which arise or may hereafter arise from Volunteer’s participation in the Activities. The Volunteer acknowledges that DOH does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance, in the event of death, injury, illness, or property damages. The Volunteer is expected and encouraged to obtain his or her own health, medical, disability, and/or other insurance to cover the Volunteer while participating in the Activities. The Volunteer acknowledges that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Michigan, and that this Release shall be governed by and interpreted in accordance with those laws. By signing below, the Volunteer, and if applicable the parent/guardian, affirms that he or she has read, understands, and is freely entering into this Release.Today's Date* MM slash DD slash YYYY Volunteer Signature* Check to sign the volunteer release and waiver.Legal Guardian (for Volunteers under 18 years old) Legal Guardian's Signature Check to sign the volunteer release and waiver. Doors of Hope Volunteer Confidentiality AgreementThis Confidentiality Agreement (“Agreement”) is signed on the below date, by or on behalf of the individual named in section one of this form (the "Volunteer") in favor of Doors of Hope, a Michigan nonprofit corporation (“DOH”) and its clients. The Volunteer desires to work as a volunteer for DOH and engage in the activities related to be a volunteer, including but not limited to, working at DOH’s office(s), work sites, and other locations in the community, and interacting with DOH employees, clients, and other volunteers (the “Activities”). The Volunteer understands that during the performance of the Activities the Volunteer may receive private and confidential information, including but not limited to names, health, financial, family, and relationship information, about a client or clients of DOH (“Confidential Information). The Volunteer agrees to respect the privacy of the client or clients and to not share or discuss the Confidential Information with anyone other than DOH employees. The Volunteer also agrees not to post any pictures of clients of DOH on any social media platform without the consent of DOH and the client(s). The Volunteer understands that a violation of this Agreement may result in DOH declining to allow Volunteer to participate in the Activities in the future. By signing below, the Volunteer (and if applicable the parent/guardian) affirms that he or she has read, understands, and is freely entering into this Agreement. Today's Date* MM slash DD slash YYYY Volunteer Signature* Check to sign the volunteer confidentiality agreement.Legal Guardian (for Volunteers under 18 years old) Legal Guardian's Signature Check to sign the volunteer confidentiality agreement. Community Teams Documentation & AcknowledgmentProvided below are the Community Teams Overview and FAQ packets. Please select the links to read online or download each resource and then check the box complete. By checking each box you acknowledge you have read and understand each of the corresponding documents.I acknowledge I’ve received and read through the following Community Team documents indicating suggested boundaries and logistics for the community team I am joining at Doors of Hope: Acknowledge* Community Teams Overview*Acknowledge* Community Teams Q&A*Review & SubmitClick "Previous" to review your answers or hit the "Submit" button to send in your application.EmailThis field is for validation purposes and should be left unchanged.