Group Name

Group Leader

Volunteer Job

Shift Date and Time

Activity Name

First Name

Last Name

Street Address

City

State

Zip Code

Email

Email Type

Personal

Work

Alternate

Phone

Phone Type

Cell

Home

Work

Emergency Contact Name & Phone

Primary organizational affiliation

So your group is credited for your volunteer hours.

Company, Organization or School Name

Please enter the full name of your organization.

Some employers match volunteer hours with a financial donation to Family Supportive Housing.

We will let you know if your employer has such a program

Birthdate

Volunteers must be 14 years of age or older.
Please use 00/00/0000 date format.

Volunteer Under the age of 18?

No

Yes

Grade

Major or Course of Study

Parent or Guardian Email Address

An email will be sent to the parent/guardian for them to digitally sign their approval for participation in this volunteer engagement.

LIABILITY AND PHOTO RELEASE:

I acknowledge that volunteering for Family Supportive Housing (FSH) may involve a risk of harm or injury, including bodily injury. In consideration of being permitted to participate in FSH volunteer activities, I agree to assume all risks involved in these activities, whether or not the risks are apparent to me. On behalf of myself, my heirs and legal representatives, and to the fullest extent permitted by law, I hereby release and discharge FSH, its officers, directors, employees, agents and representatives, from and against any and all liability for injury, death or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of volunteering for FSH. I further grant full permission for FSH to use any photographs, video or other recordings of me taken during my volunteering time for any legitimate and charitable purpose without monetary payment to me.

CODE OF CONDUCT:

As a volunteer at Family Supportive Housing I will:

• Represent Family Supportive Housing, Inc. responsibly, with professionalism, and

conduct myself appropriately at all times.

• Respect clients, staff, and other volunteers.

• Respect the privacy of the clients of FSH, and hold confidential all personal information.

• Perform my volunteer duties to the best of my abilities.

• Adhere to the Code of Conduct as outlined above.

• Meet time and duty commitment and provide adequate notice of at least 48 hours when

unable to do so, so alternate arrangements can be made.

As a volunteer at the Family Supportive Housing I will not:

• Ask for/offer personal information to/from clients.

• Use/be under the influence of drugs or alcohol.

• Lend or give money to clients.

• Accept gifts or gratuities from clients or visitors.

• Transport clients.

• Take photographs without permission of shelter management and the client.

• Give statements representing FSH to the media.

• Discriminate on the basis of race, color, creed, sex, age, sexual orientation, national

origin or disability.

I have read the Volunteer Waiver and Release of Liability Release and Code of Conduct in its entirety and fully understand the contents thereof. I voluntarily agree to all terms, conditions, and all content of the Release and Code of Conduct.