COVID-19 Volunteer Interest Form

 

Thanks for your interest in volunteering at Project Angel Heart.

Please fill out the following volunteer interest form, letting us know what roles you are interested in and when you may be available to help. Note that, due to the COVID-19 public health crisis, our needs are changing quickly. We may assign you to a role right away, or we may place you on a back-up call list in the event that assigned volunteers cancel at the last minute. Please be patient and flexible with us during this time.

Please note that certain volunteer roles will require you to submit a background check (instructions will be provided). Please review our Background Screening Policy for more information.

 

Personal Contact Information

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Name:

 

 

 

 

       

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City/State/ZIP:

 

    

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Date of Birth:

 


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Employment Information

Many companies make a contribution to agencies for hours their employees volunteer in the community. This information is helpful for grant purposes, but is not required. We will not contact your employer about your volunteer efforts with us.

   


   


   


   


   


 


   


 
Question - Not Required - Does your employer offer days of service to volunteer in the community?

 
Question - Not Required - Does your employer offer matching gifts?

 

Volunteer Goals

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Volunteer Agreement: 

By submitting this registration, I agree to abide by each and every policy outlined in the following volunteer agreement. 

Please contact the volunteer resources manager at 303.407.9414 with any questions about the policies included in this application.

I understand that Project Angel Heart is an organization that depends upon its volunteers in order to function efficiently and successfully. Therefore, I, as a volunteer, am responsible for the success of this organization. My conduct while performing services reflects the attitude and philosophy of Project Angel Heart and its reputation is dependent upon my words and actions, and I will conduct myself in a professional and businesslike manner at all times.

  • Volunteer Commitment & Scheduling
    • When volunteering at the main facility, I will wear a nametag for identification. 
    • If for any reason I cannot participate in a scheduled volunteer shift, I will notify the Volunteer Resources staff with as much notice as possible.
    • I understand that more than three (3) unexcused “no call, no show” absences may warrant immediate dismissal from Project Angel Heart’s volunteer program. 
    • I have reviewed the volunteer handbook and position descriptions and will fulfill the duties expected of me in my role.
  • Confidentiality
    • I will respect and maintain all clients’, volunteers’, and donors’ confidentiality, including conversations I may overhear between staff members.
    • I will establish and maintain appropriate boundaries while volunteering at Project Angel Heart that include:
      • Refraining from greeting or acknowledging clients outside of Project Angel Heart service unless greeted or acknowledged by the client first.
      • Refraining from wearing Project Angel Heart paraphernalia when volunteering with a client outside of Project Angel Heart. This is most important when delivering meals.
      • Refraining from giving gifts of any kind to clients, or accepting gifts of any kind from clients, including money and food.
    • I agree to keep all data received by Project Angel Heart in the strictest of confidence. In addition, I will return and/or destroy any copies of the data received immediately after completing the agreed upon project. I understand that Project Angel Heart holds volunteer, donor, and client data in the highest regard and will prosecute anyone who uses donor or client information without permission.
  • Inclusivity
    • I will treat all other volunteers, staff, clients, and visitors with respect and will do my best to honor the diversity of people and opinions that I come in contact with through Project Angel Heart.
      • I will not discriminate on the basis of race, color, religion, national origin, age, gender identification, gender variance, sexual orientation, marital status, HIV or other disease status, military status, or physical or mental disability.
      • I will refrain from imposing religious or political beliefs on clients, staff, donors, or anyone with whom I come into contact with through Project Angel Heart.
  • General Policies
    • I understand that Project Angel Heart requires a background check to be conducted on all volunteers who come into direct contact with clients or work with confidential information.
    • I agree that during my scheduled time as a volunteer for Project Angel Heart, I will abstain from using alcohol, illegal substances, or other substances that would impair my ability and that I will not volunteer for Project Angel Heart while under the influence.
    • I agree that I shall not drive for Project Angel Heart without a valid driver’s license and my own vehicle insurance as required by Colorado state law.
    • I agree that I will follow physical and food safety guidelines. In the event I do not understand these, I will ask for guidance.
    • I understand that, in the case of an accident or injury, I am fully liable for all associated costs.
    • I understand that Project Angel Heart reserves the right to terminate the services of any volunteer for any reason and at any time without notice.
    • I understand that I will receive an electronic version of the volunteer handbook and can request a print version at any time.
 

Image Release

I hereby authorize Project Angel Heart to use photographs of me in promotional materials produced for or produced by Project Angel Heart. I also authorize Project Angel Heart to share these photos with media, funders, and partners of Project Angel Heart to highlight the benefits of the program. I reserve the right to withdraw my authorization at any time by informing Project Angel Heart in writing. Should I submit a written withdrawal of authorization, I understand that any promotional materials or television segments already in process of design or production using my information will be considered authorized by me.

If I do not authorize Project Angel Heart to use photographs of me, I understand that I may be omitted from one or more volunteer shifts if filming is scheduled to occur.

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Question - Required - Please select one:

 

Release and Waiver of Liability

 

This Release and Waiver of Liability (the "Release") releases Project Angel Heart, a nonprofit corporation existing under the laws of the state of Colorado, and each of its directors, officers, employees, volunteers, and agents.

I, the Volunteer, desire to provide volunteer services for Project Angel Heart and engage in the activities related to being a volunteer. I am entering into this Release knowingly and voluntarily in order to provide volunteer services for Project Angel Heart..

I understand that the scope of my relationship with Project Angel heart is limited to a volunteer position and that no compensation is expected in return for services provided, that Project Angel Heart will not provide any benefits traditionally associated with employment to me, and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my service to Project Angel Heart.

Waiver and Release. I, the Volunteer, release and forever discharge and hold harmless Project Angel heart and its successors and assigns from any and all liability, claims, and demands which I or my heirs, assigns, next of kin, or legal representatives may have or which may hereinafter accrue from the services I provide for Project Angel Heart, including as a result of negligence by Project Angel Heart, its employees, clients, and volunteers. I understand and acknowledge that this Release discharges Project Angel Heart from any liability or claim that I may have against Project Angel Heart with respect to any bodily injury, personal injury, illness, death, or property damage which arises or may hereafter arise from or is in any way related to my volunteer services for Project Angel Heart, including as a result of negligence by Project Angel Heart, its employees, clients, and volunteers.

Insurance. I, the Volunteer, understand that Project Angel heart does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance of any nature, including but not limited to health, medical, travel, automobile, or disability insurance in the event of my injury, illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Project Angel Heart.

Medical Treatment. I, the Volunteer, release and forever discharge Project Angel Heart from any claim or action whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with my volunteer services for Project Angel Heart, including as a result of negligence by Project Angel Heart, its employees, clients and volunteers .

Assumption of Risk. I, the Volunteer, understand that the services I provide to Project Angel Heart may include activities that may be hazardous to me including, but not limited to, operation of kitchen equipment, utilization of knives and other kitchen tools, lifting, pushing, and carrying heavy items, slips and falls, operating a motor vehicle, and interacting with clients, Project Angel Heart employees, and other volunteers. As a volunteer, I hereby expressly assume all risk of injury or harm from these activities and release Project Angel Heart from all liability for injury, illness, death, or property damage resulting from my volunteer services for Project Angel Heart.

Other. I, the Volunteer, expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the state of Colorado. I further agree that in the event that any clause or provision of this release is deemed invalid, the invalidity of such clauses and provisions shall not otherwise affect the remaining clauses and provisions of the release. 

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Question - Required - By checking this box, I express my understanding and agreement with the Release and Waiver of Liability:

   


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