Youth Volunteer Application

Name *
Name
Phone *
Phone
Date of Birth *
Date of Birth
Date *
Date
Address *
Address
How do you prefer to be contacted? *
See opportunities list below.
Housing Assistance Volunteer Opportunities
Home Repair Program Housing Assistance performs repairs on homes throughout the year and relies on volunteer labor to help with many of these repairs.  Skilled labor is needed in carpentry, plumbing, flooring, roofing, electrical and masonry work. Other help such as hauling materials, carpentry assistance, and yard work are also occasionally needed. • The Wheelchair Ramp Team • Youth Volunteer Site Coordinators • Annual TEAM Day event • Home Repairs • Client Follow Up Assessment Home Repair Program Housing Assistance performs repairs on homes throughout the year and relies on volunteer labor to help with many of these repairs.  Skilled labor is needed in carpentry, plumbing, flooring, roofing, electrical and masonry work. Other help such as hauling materials, carpentry assistance, and yard work are also occasionally needed. • The Wheelchair Ramp Team • Youth Volunteer Site Coordinators • Annual TEAM Day event • Home Repairs • Client Follow Up Assessment Home Repair Program Housing Assistance performs repairs on homes throughout the year and relies on volunteer labor to help with many of these repairs.  Skilled labor is needed in carpentry, plumbing, flooring, roofing, electrical and masonry work. Other help such as hauling materials, carpentry assistance, and yard work are also occasionally needed. • The Wheelchair Ramp Team • Youth Volunteer Site Coordinators • Annual TEAM Day event • Home Repairs • Client Follow Up Assessment Communications • Website maintenance • Computer network support • Newsletter design and mailing • Brochures and promotional material Fundraising • Event organization • Event staffing Home Construction • Architectural design • Landscape planning and installation • Interior decorating
Emergency Contact *
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number
Secondary Emergency Contact *
Secondary Emergency Contact
Emergency Contact Phone Number *
Emergency Contact Phone Number
Confidentiality Statement
I recognize the right to privacy of all the Housing Assistance Corporation’s clients. I understand that in performing the responsibilities of my volunteer job, I may need access to information which is confidential. I will not share information about any of the clients without the express of that individual and the agency.
Signature *
Signature
Signing Date *
Signing Date
Informed Use of Photographs
I hereby authorize the Housing Assistance Corporation to use my image in any promotion of the agency’s programs and activities. I understand that these promotions may include but are not limited to such informational and instructional materials as the production of brochures, slide presentations, videotapes, and newsletters to be distributed publicly.
Signature *
Signature
Signature of Parent or Guardian *
Signature of Parent or Guardian
If Under 18, a parent or guardian must sign this form. Your parent / guardian WILL be contacted to confirm information is valid.
Note: This Parental Consent Form must be filled out for all volunteers under age 18. Please refer to Volunteer Handbook for additional age restrictions and safety guidelines.
I, the parent or legal guardian of the minor volunteer, understand, acknowledge, and agree that • I give permission for my child to participate in volunteer activities of the Housing Assistance Corporation of Hendersonville • I understand that he/she will be expected to meet the requirements of the position, including regular attendance and adherence to agency policies and procedures • I am aware that my child may be exposed to personal injury or damage to his/her property as a result of his/her activities, the activities of other persons or the conditions under which my child’s services are performed while participating in a volunteer workday. • With full knowledge and understanding, I agree to accept any and all risks of injury, damage, or death and I release Housing Assistance Corporation of Hendersonville, its directors, employees, and volunteers from any and all liability arising out of my child’s participation as a volunteer.
Youth / Volunteer Name *
Youth / Volunteer Name
Parent / Guardian Signature *
Parent / Guardian Signature
Signing Date *
Signing Date
Parent / Guardian Phone *
Parent / Guardian Phone