VOLUNTEER APPLICATION First Name * Last Name * Are you a new Reach volunteer? * Yes No Has your contact information changed? * Yes No Gender * Male Female Birth Date * Address Line 1 * Address Line 2 City * State * AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip * Day Phone * Evening Phone * Email Address * Would you like to be added to our email list? Emails are sent 1-2 times each month. * Yes No Church/Group * Emergency Contact Name Relationship Home Phone Cell Phone VOLUNTEER OPPORTUNITIES (Check all areas that interest you): COLD WEATHER SHELTER Group Coordinator Kitchen Coordinator Kitchen Assistant Check-In Desk (6-10pm) Laundry/Shower Transport Linens Search Morning Volunteer (5:30-7:30 am) Overnight Volunteer Hospitality DAY RESOURCE CENTER Crisis Center (9am-1pm T/Th) Clerical Shower/Laundry (summer only) 24-hour Crisis Assistance OTHER Board of Directors Financial Literacy Open Table Taste of the Town Welcome Home Are you available to help additional days throughout the shelter season (as needed)? Yes No CONFIDENTIALITY AGREEMENT The individuals you will be working with deserve the respect and dignity of having their personal affairs kept confidential. As you spend time with shelter residents, a bond of trust develops and things of a personal nature may be discussed. You are not to disclose any information to those not directly involved with shelter residents such as family, friends, co-workers or others. However, if you are alerted to any situation that endangers the health, safety, or welfare of any individual, you are obligated to report such dangers with Reach staff. I have read and understand the Confidentiality Agreement and agree to perform my volunteer responsibilities in compliance. * Yes No I have read and agree to the relationship and sexual abuse policies listed below. * Yes No Staff Persons Served Relationship Policy Sexual Abuse Policy reCAPTCHA If you are human, leave this field blank.