Individual Volunteer Application

Please complete the Individual Volunteer Application below. Once we have received your application, our Community and Volunteer Engagement Manager will reach out to schedule an in-person tour and orientation. Thanks very much. We are looking forward to being in touch.

Individual Volunteer Application

First Name: *

First

Last Name: *

Last

Email: *

NOTE: By submitting the volunteer application you are agreeing to receive occasional electronic newsletters regarding volunteer opportunities at Christ House.

Phone Number: *

Address: *

Apt. Number (if necessary):

City: *

State: * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Postal Code: *

Date of Birth (MM/DD/YYYY): *

Group or Church Affiliation (if any):

Employer/School:

Occupation:

My employer gives time off for volunteering

My employer matches donations

Languages Spoken:

Are you fully vaccinated against COVD-19? *

Note: Proof of vaccination is required to volunteer at Christ House.

Are you okay with wearing a mask the entire time you are in our facility? *

Have you volunteered at Christ House before?

Yes

No

Can you volunteer at least once per week or twice per month?

Yes

No

We are interested in volunteers who can come in on a fairly regular basis.

Would you like to receive occasional printed mailings from Christ House?

Yes

No

Note: Christ House will not sell, trade, or give your email or mailing address to anyone at any time.

Would you like to receive occasional electronic newsletters from the development team at Christ House?

Yes

No

Note: Christ House will not sell, trade, or give your email to anyone at any time.

Volunteer Opportunities (please mark your interests below):

Kitchen Volunteer: serve patients, wash dishes, clean surfaces, etc.

Phone Volunteer: relief receptionist in medical ward, shifts as needed

Special Programs: art teacher, writing teacher, yoga instructor

Photography Volunteer: take photos of our community members and daily activities

Administrative Volunteer: transcribe PDFS, label documents, assist with communications

OtherOther

Note: All weekly and bi-monthly shifts at our nurses' station are covered.

Sunday Availability (Note: Please mark your availability.) *

Breakfast: 7:00AM-9:00AM

Lunch: 11:00AM-1:30PM

Dinner: 5:30-7:00PM

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Not Available

Options listed are based on current openings.

Monday Availability (Note: Please mark your availability.) *

Breakfast: 7:00AM-9:00AM

Lunch: 11:00AM-1:30PM

Not Available

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Options listed are based on current openings.

Tuesday Availability (Note: Please mark your availability.) *

Breakfast: 7:00AM-9:00AM

Lunch: 11:00AM-1:30PM

Not Available

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Options listed are based on current openings.

Wednesday Availability (Note: Please mark your availability.) *

Lunch: 11:00-1:30PM

Not Available

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Options listed are based on current openings.

Thursday Availability (Note: Please mark your availability.) *

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Not Available

Options listed are based on current openings.

Friday Availability (Note: Please mark your availability.) *

Breakfast: 7:00AM-9:00AM

Lunch: 11:00AM-1:30PM

Dinner: 5:30PM-7:00PM

Not Available

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Options listed are based on current openings.

Saturday Availability (Note: Please mark your availability.) *

Breakfast: 7:00AM-9:00AM

Lunch: 11:00AM-1:30PM (once per month)

Not Available

Special Programs, Photography + Administrative Volunteers, please list your availability:Special Programs, Photography + Administrative Volunteers, please list your availability:

Options listed are based on current openings and are extremely limited on Saturdays due to Church groups.

Do you need special accommodations? (Choose Option) Yes No Do you need special accommodations?

If yes, please elaborate. Please note that Christ House welcomes anyone regardless of ability, but due to the nature of our facility and staff we may be unable to accommodate all needs.

Do you need to fulfill a service requirement? (Choose Option) Yes No Do you need to fulfill a service requirement?

If yes, please indicate how many hours, your deadline, and who is requesting this requirement. Please note that Christ House may not be able to accommodate all requests for required service hours.

How did you learn about Christ House?

Please share what draws you to serve with Christ House:

Please list a reference who can speak to your character: (Name, Address, Phone Number and E-mail)

Volunteer Policy on Confidentiality, Waiver and Release

By clicking below, you are acknowledging that you have read and agree to the Christ House Volunteer Waiver and Release above. *

I am aware of the requirements in maintaining confidentiality while volunteering at Christ House and I have read the waiver. I will keep all information observed and heard regarding Christ House patients confidential and I release Christ House from all liability while volunteering.