Volunteer With Us Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birth Date MM DD YYYY Phone * (###) ### #### Email * Interested in Volunteering With: * Laundry Day Hope Street Choir Kitchen Volunteer Server Neighborhood clean-up crew Floor companion (training required). Special events Clerical volunteer (packet making, printing resources, etc.) Maintenance Other If you indicated "Other" above, please describe how you would like to volunteer. Why do you wish to volunteer? * Do you have any physical limitations we should be aware of:? We ask for a one-month commitment with a maximum of 2 shifts per week. We have a monthly volunteer meeting on the last Friday of each month where we discuss the next month's scheduled shifts, we ask all volunteers to attend if possible. I would like to volunteer: * 2 times per week 1 time per week I am available on: * Monday Wednesday Thursday Friday Saturday Photo Release On occasion, volunteers, or staff members of The Shift Recovery Cafe Redding or Refuge Community take pictures for various purposes, such as an event or celebration etc. Would you be comfortable to have your picture taken? I consent to having my photo taken and its use: * Yes No Emergency Contact Name * First Name Last Name Phone * (###) ### #### Relationship to you: * Confidentiality As you know, recovery is a very personal journey. Advocates are expected to honor the confidentiality of personal information of our many members. However, if you have any questions or concerns about someone being a danger to themselves or others, please tell a staff member immediately. Confidentiality Agreement: * I agree to not discuss by name or any characteristics by which a member, advocate, or donor could be identified without their permission to do so. If a problem arises, I will bring it to the attention of a staff member. I Agree E-Signature: * By typing your name in the following field and clicking submit, you agree that the information on this form is accurate to the best of your knowledge, and to be held accountable to the agreements contained within. Today's Date: * MM DD YYYY Thank you for you interest. You will be contacted soon do further discuss volunteer opporutnities!
