Volunteer Application

HOPE HOUSE OF MILWAUKEE, INC.

Volunteer Application

Please print this form, complete the entire Volunteer Application, and FAX or mail back to us at the address or FAX number below.  If you would like to fill out this form online, click here. All items are required for a complete application.

 

Due to the sensitive nature of the service we provide and the people we serve, Hope House is federally mandated to conduct a criminal background check on all volunteer applicants. Hope House does not buy, sell, or trade names or name lists.

 

 

GENERAL INFORMATION

Name:

 

Date of Birth:

 

 

Present Address

Permanent Address:

City, State ZIP

 

City, State ZIP

Daytime Telephone:

Evening Telephone:

 

Email Address:

 

 

 

EXPERIENCE

High School:

 

Employer:

College:

 

Employer Address:

Field of Study:

Employer Telephone:

 

Special Training, Experience, Hobbies, Etc

Position:

 

Length of Employment:

 

Past and Present Volunteer Experience:

 

 

 

REFERENCES

Name:

 

Name:

Relationship:

 

Relationship:

Telephone:

 

Telephone:

Occupation:

 

Occupation:

Years Known:

 

Years Known:

 

EMERGENCY CONTACT PERSON

Name:

 

Address:

Relationship:

Telephone:

 

 

 

VOLUNTEER INTERESTS

Please Identify All Opportunities of Interest:

____  Youth Tutoring - Mon - Fri 3:00 PM - 5:00 PM – Assist youth ages 6-17 with homework, additional study, and learning through play               

 ____ Youth Workshops - Mon-Thurs 5:15 PM - 7:30 PM –Assist staff in engaging youth in enriching activities such as art projects, educational experiments, and various games.  

 ____ Food Pantry - Tues or Thurs 12:30 PM - 2:30 PM , Sat 9:45 AM - 12:00 PM – Help with cleaning, sorting, stocking and distributing food.

 ____ Specialized Volunteer - Various times – Lead youth workshop activities, engage with children living in our family shelter, lead programs for adults, etc. *Specialized Volunteers must have professional training and experience in their chosen volunteer activity        

 ____ Other (specify): __________________________________________________________  

How did you learn about Volunteer Opportunities at Hope House?

 

 

 

Why are you interested in volunteering at Hope House?

What do you feel you can contribute to Hope House?

What do you expect to gain from Hope House?

 

 

 

 

 

CONFIDENTIALITY AGREEMENT

As a volunteer of Hope House of Milwaukee, I agree –

 

¨       To treat everyone with respect and dignity at all times.

 

¨       To respect the privacy of all guests, community residents, and staff.

 

¨       To hold in confidence any and all information acquired during my volunteer work on behalf of Hope House.

 

My signature indicates that I agree to the Confidentiality Agreement and that the information provided on this application is complete and true to the best of my knowledge.

Printed Name:

 

Signature:

 

Date:

 

Would you like to receive e-mail updates, including our monthly newsletter?  YES    NO  

Bring, Send, or FAX Completed Application to –

Hope House of Milwaukee

ATTN: Volunteer Coordinator

P.O. Box 04095

Milwaukee, WI 53204

 

FAX: (414) 645-2249