Individual Volunteer Application "*" indicates required fields First Name* Middle Name Last Name* Date of Birth* MM slash DD slash YYYY Preferred Pin (4 digit code)* Street Address* City* ZIP* Primary Phone* Secondary Phone E-mail* Employer/School Work Field/Area of Expertise Church/Place of Worship Referred by Special skills, languages, expertisePrimary Emergency Contact Contact Name* Relationship* Phone*I'm interested in serving I'm interested in serving I'd like to serve wherever needed Thrift Store Cashier Sales Floor Process/Price Clothing Process/Price Housewares Donation Door/Receiving Donation Pick Up Assistant Neighbor Services Cashier Greeter / Receptionist Special Events Interpreter (Spanish/English) Food Pantry Clothing Closet Data Entry / Office Food Pick Up Assistant Administration Special Events Marketing Data Entry / Office I’m available to serve* Monday Tuesday Wednesday Thursday Friday Saturday Times* 9:00am – 1:00pm 12:00pm – 4:00pm Other: Other: Frequency* Weekly Monthly Other: Other: T-shirt sizeSMMedLGXL2X3X4XTerms & Conditions I understand that volunteering is a commitment to work with White Rock Center of Hope to make a difference in our community. If selected I agree to respect the White Rock Center of Hope mission, vision, values, and represent White Rock Center of Hope in a positive and professional manner, to show up when scheduled, work hard, and to have fun. I grant to White Rock Center of Hope the right to photograph or record me on video and to use my name, voice and/or likeness for promotional purposes and on social media platforms related to the White Rock Center of Hope. By disclosing my email, I agree that White Rock Center of Hope may contact me for the purpose of advising me about any of the White Rock Center of Hope programs or services, or for such other purpose(s) as the White Rock Center of Hope deems appropriate. I understand that the volunteer activities I may be asked to perform may involve physical activity, contact with unidentified and unfamiliar persons, travel to and from unspecified locations, and other potential risks of injury. Knowing this, I agree to take responsibility for my own personal safety when participating in any volunteer opportunities. I agree to participate only in volunteer activities of which I am physically capable without risk of injury to myself. I assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property, which I may sustain in connection with my participation. In addition, I hereby release and discharge White Rock Center of Hope and any of its directors, officers, employees, partners, affiliates, agents and successors from any and all liability or responsibility for any such accident or injury. Signature*Date Signed* MM slash DD slash YYYY