VOLUNTEER APPLICATION Giving back starts here. Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Home Phone*If your cell phone IS your home phone, please use the same number in both fields.Cell Phone*Email* Choose One Description*StudentGroup LeaderAdult VolunteerCourt Ordered Community ServiceIf you are a student, what school do you attend?*Is this an application for a group to volunteer? If so, what is the name of your group and how many participants will there be?*Are your volunteer hours required by Court Order that will need verification?If so, please specify the charges.*Why do you want to volunteer at HOPE Center?Special skills &/or experience:*Health status/Restrictions:*Do you have a specific area in which you would like to volunteer?* Food Room Clothing Room Resale Shop Do you have a specific day or time in which you would like to volunteer?*PERSONAL REFERENCEReference's Name First Last Reference's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Reference's PhoneEMERGENCY CONTACTEmergency Contact's Name* First Last Emergency Contact's Phone*VOLUNTEER AGREEMENT* As a volunteer at HOPE Center, I agree to: 1. Treat each client as I would like to be treated, with kindness, patience, and respect, and not to discriminate according to the Civil Rights Act. 2. Work to promote, recognize, and defend the welfare of others who are less fortunate and to respect the confidentiality of all information gained in the course of volunteer work. 3. Be reliable in working my assigned time, understanding that others are depending on me and to do my best to notify the office when unable to work my assigned time. HOPE Center is a project of the Edmond Ministerial Alliance. Our center was organized by the churches of Edmond to more effectively respond to people in emergency situations. The goal of HOPE Center is to help people in such a way as to encourage the individual to change the circumstances that brought about the crisis and thereby prevent problems in the future. The motto of HOPE Center is “Love our Neighbor”. A large amount of the work at HOPE Center is accomplished by volunteers. You are our greatest resource. We agree to treat you with respect and dignity and to honor your commitment to helping others. In return, you will receive the personal satisfaction of helping and serving those less fortunate. NameThis field is for validation purposes and should be left unchanged.
