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23 S Idlewild Street, Memphis, TN 38104 (901) 272-2702

Hope House Volunteer Application

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Individual Volunteer Application

Hi! We are so grateful for your interest in volunteering with us. Please fill out the form below. If you have any questions, please do not hesitate to Samantha Thornton. Her email is sthornton@hopehousememphis.org or you can call/text her at 901-538-8438.

Name
Education (Based on your current level of education)
Sick Policy: I agree to not volunteer at Hope House on days when I am sick, not feeling well, or had a fever in the last 24 hours for the safety of the children and our families.
How did you hear about volunteering at Hope House?
Volunteer Interest Areas
Availability for Classroom Volunteers
We ask that all volunteers work a minimum of 1 hour per week during their time with us. These are the general available slots for each of our classrooms unless otherwise noted. *We do not have volunteers in the classroom due to nap time*
I am willing to make a commitment of:
Are you interested in supporting Hope House at events such as Taste of Hope, Trunk or Treat, or CMOM After Dark?
Please list three references of people who know you well, other than relatives, preferably for whom you have worked in either a paid or volunteer capacity.
Have you lived in another state beside TN in the past 5 years? If yes, additional background check materials may be required.
Please read the following carefully — Application Information: I certify that all information in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal, if discovered, at a later date. References: I understand that Hope House requires information from me to evaluate my qualifications for volunteer service. I authorize and release personal references, employers (past and present), and if necessary, other applicable entities to answer questions in regard to volunteer work, employment, ability, and character. Confidentiality Agreement I understand that the confidentiality of the identity of and information concerning any child or family of Hope House Day Care Center, Inc. must be maintained at all times. No information concerning a client may be released to anyone, including spouse and family members, without their express written consent. My signature on this statement indicates that I have read the policy on confidentiality and that I understand and agree to abide by the provisions and procedures established. I understand that my failure to abide by these provisions is subject to my disciplinary measures including termination and may subject me to civil and/or criminal penalties brought about by an aggrieved party. In the event that I shall no longer be a volunteer at Hope House Day Care Center, Inc. I agree to continue to abide by this agreement and understand that the disclosure of any confidential information may subject to civil and criminal liability.

Our Address

23 Idlewild Street Memphis, Tn 38104

901-272-2702, ext. 206

Fax: 901-722-9520

Time: 9.00am-5.00pm CT

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