Tabitha’s House » Volunteer Application

Volunteer Application

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or handicap.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Date of Birth
MM
DD
YYYY
Position Applying For:
Availability
- Weekday Mornings
- Weekend Mornings
- Weekday Afternoons
- Weekend Afternoons
- Weekday Evenings
- Weekend Evenings
Education
Schools/Colleges Attended Degree Number of Years Year Graduated

Emergency Contact Info*
First Last
Phone
Have you ever been shown by credible evidence, e.g., a court order or jury, a department’s investigation or other reliable evidence to have abused, neglected or deprived a child or adult or to have subjected any person to serious injury as a result of intentional or grossly negligent misconduct? If so, please explain.
- YES
- NO
I understand that as a volunteer, I am not entitled to employee benefits from Tabitha’s House, Inc. such as health or accident insurance, or workmen’s compensation benefits. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or claims against me as a volunteer performing my duties as a volunteer. I understand that as a volunteer, I am protected from liability by the Federal Volunteer Protection Act as long as I am performing my assigned duties or tasks, not acting in a grossly negligent manner, or operating a motor vehicle. Should damages or injuries occur while I am operating a motor vehicle during the course of my volunteer duties, I understand that I accept any and all responsibility for damages to my vehicle, others property as well as injury to myself, passengers in the vehicle with me, or other motorist or passengers involved. I release Tabitha’s House, Inc. from any liability or responsibility for damages to my property or the property of others in the event of an accident involving my vehicle or others. I furthermore release Tabitha’s House, Inc. from any liability or responsibility in the event of injuries to myself, passengers or others involved. Tabitha’s House, Inc. reserves the right to use any photograph(s)/videography taken on Tabitha’s House, Inc. property or at any event that we participate in or host.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. By signing, I am also stating that I do not have a record of any criminal convictions that would adversely affect my capacity and ability to provide care, safety, or security to the clients of Tabitha’s House, Inc. I agree to allow Tabitha’s House, Inc. to perform all necessary related background checks as needed.
Signature
Date
NOTE: Additional documentation may be required including:
- Drug Screen
- DMV Records
- Reference Verification
- Background Records
- E-verify

References

Please provide three (3) references who can verify your abilities, skills, and/or volunteer experience.
Applicant Name*
First Last
Desired Area of Interest*
Reference 1
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Date
Email
Phone
Reference 2
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Reference 3
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Tabitha’s House Reviewer:*
First Last
Date
Comments
This field is for validation purposes and should be left unchanged.

Volunteer Application

BE A VOLUNTEER. WE NEED YOU!

Volunteer Application

Experience and Skills

Areas of Interest:

References

Reference 1

Reference 2

Reference 3