Volunteer Interest Form

*Asterisk indicates required field.

Availability

List times that you are available to volunteer, e.g., 8 a.m. - 12 p.m. (please note not all the times you list may be open for the department you selected/are assigned due to a large volume of volunteers, please be open to all times you write down):

Complete this question only if you have been accepted by a HFH Department please indicate name of department and contact person. If this question does not apply to you, move on.

Emergency Contact

Volunteer Agreement Statement

I understand that if I am selected as a volunteer at HFH, I am not, under any circumstances, an agent or employee of HFH. I will not receive any compensation or benefits, including but not limited to, worker’s compensation. I have not been given a promise of employment in return for my volunteer work. I have not been coerced and am doing this entirely of my own accord. Any hours I volunteer will be in accordance to a schedule mutually developed by me and the Volunteer Department. I agree to comply with the HFH’s policies, including but not limited to, confidentiality, harassment, disruptive behavior, nicotine, and substance abuse. I acknowledge that HFH and I each have the right to terminate my volunteer relationship at any time. I understand that disclosing confidential information about a patient, employee, or other volunteer is strictly prohibited and grounds for immediate termination, and fines could be assessed. I agree to comply with initial and annual health screening requirements, to follow the appropriate dress code, and not to impose religious or other beliefs or values on patients, HFH staff, families, or other volunteers. I agree to be considerate of others and conduct myself in a courteous and professional manner and to fulfill my commitment by completing all assignments to the best of my ability. I certify that all information I have and will provide throughout the selection process, including on this application and in interviews with HFH is true, correct, and complete to the best of my knowledge. I understand that information contained on my application will be verified by HFH. I understand that misrepresentations or omissions may be cause for my immediate termination as a volunteer.