[close]

Hope Through Housing

Resident Wellness Calls

February 1st - July 30th, 2021

What's your email address?

Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Do you speak a second language?
Date of Birth

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Mobile Phone Number
Alternate E-mail
Company/Organization/Group Name
Would you like to opt. in our mailing list for our Hope through Housing E-Newsletter?
Interested in other Hope through Housing volunteer opportunities. Select all that apply,




Comments/Notes

Disclaimer

I acknowledge that I am a volunteer for Hope through Housing Foundation (HTHF). I have no present or future expectation of wages or benefits in exchange for any work I perform for HTHF. I understand that I may be dismissed from my volunteer position with HTHF at any time and for any reason whatsoever, with or without cause, and with or without notice.

I recognize that as a volunteer, I represent HTHF to the public. I accept the responsibility for this status and will conduct myself in a professional manner. I will be clean and sober when conducting business as a representative of HTHF and will dress appropriately for my assigned duties.

I will not participate in and will report any and all instances of any sort of harassment or discrimination. I will work to maintain an atmosphere of physical and emotional safety for everyone associated with HTHF, whether employee, volunteer, client, visitor, or donor.

I agree to maintain the confidentiality of all volunteers, clients, and donors about whom I obtain personal and/or identifying information, whether inadvertently or as a result of my volunteer activities. I will not discuss, disclose, or in any way make known any personal and/or identifying information without prior express permission from HTHF staff. Further, I will not take or post pictures of any HTHF clients on any public, including social media, site.

I am aware that as a volunteer, I may expose myself to potential risks of injury which include, but are not limited to, accidents, cuts, burns, back injury from lifting, car accidents, property damage or injury to others in accidents, falls, etc. I understand the potential hazards I may encounter. I am voluntarily participating in this service with the knowledge of the potential hazards involved and hereby agree to accept any and all risks of injury.

I agree that neither I nor my assignees, heirs, distributes, guardians and other legal representatives will make a claim against, or sue for injury or damage resulting from, negligence or other acts, howsoever caused, by any employee, agent or volunteer contractor of HTHF as a result of my participation as a volunteer. I hereby release and hold harmless HTHF, all of its affiliates, including but not limited to National Community Renaissance, and HTHF’s and its affiliates’ respective officers and directors, employees, agents and volunteers from all actions, claims, or demands that I, my assignees, heirs, guardians and legal representatives now have or may hereafter have for injury resulting from my participation as a volunteer.
I grant HTHF the irrevocable right to use photographs and video or audio recordings of me made while volunteering, in any medium, without remuneration.

I attest that I am 18 years of age or older.

I certify under penalty of perjury and in conformance with California Education Code section 35021 that I am not required to register as a sex offender pursuant to California Penal Code section 290.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and I sign it of my own free will.