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COURT-MANDATED COMMUNITY SERVICE APPLICATION

Court-Mandated Community Service Volunteer Application

We help people fulfill their community service hours all the time! Applicant must be at least 16 years old and in need of court-ordered community service hours. Some discretion can be made by the Volunteer Coordinator regarding age requirements if the student is under 16 years old.

Most shifts occurduring the business week, Monday through Friday, ideally in the mornings. Limited Saturday opportunities on a first-come-first-serve basis

HHC reserves the right to accept or deny applicants for our community service program. HHC also reserves the right to discontinue community service hours if we feel the community service volunteer no longer aligns with our working environment, overall mission, and values.

First Name

Last Name

Preferred Name

Email:

Phone:

Date of Birth

Mailing Address

Please list your charge as stated on your court paperwork and date(s) charges occurred.

How many hours do you require?

By what date are your hours due to be completed?

Court/County Name

Case Manager First and Last Name (if applicable)

Case Manager Phone Number (if applicable)

Case Manager Email (if applicable)

Do you speak languages other than English?

Yes

No

If yes, what other languages do you speak?

Have you ever been convicted of a felony?

Yes

No

If yes, please explain and provide dates

Are you retired?

Yes

No

What is your current or previous occupation. If you are a student, please indicate that as well.

Do you have any of the following certifications? Check all that apply:

CPR

First Aid

EMT

None

Other

If other, please indicate:

What degrees and/or certificates have you earned?

Have you ever been a Help & Hope Center volunteer before?

Yes

No

If yes, please describe and include dates

Do you require any special accommodations while volunteering at Help & Hope Center?

Yes

No

If yes, please describe.

Are you currently or have you ever been a volunteer elsewhere?

Yes

No

If yes, please describe

Are you currently or have you ever been a client receiving services from Help & Hope Center?

Yes

No

If yes, please describe and include dates

List three personal characteristics that would be an asset to Help & Hope Center

What else would you like us to know about you?

Emergency Contact Full Name

Ermergency contact relationship to applicant

Emergency Contact Phone Number

DECLARATION OF ACCURACY OF INFORMATION I hereby certify that the information provided by me on this application is true and correct to the best of my knowledge and belief. I hereby grant Help & Hope Center my permission to verify facts contained in this application. I hereby authorize the release of any relevant information such as reference checks, driving records, criminal history, education, work history and background for verifying my eligibility to volunteer at Help & Hope Center. I also authorize Help & Hope Center to use, publish and copyright any of the photographs taken of me. I waive any right to inspect or approve the finished photographic materials. All pictures are owned by Help & Hope Center.

VOLUNTEER AGREEMENT & GUIDELINES As a Help & Hope Center Volunteer, I commit to the following: I will serve in a professional and friendly manner. I will maintain client confidentiality at all times. I will treat all clients, customers and fellow workers with courtesy and respect. I will always project a positive image of the Help & Hope Center. I will price all items fairly; the same for customers, friends and fellow volunteers. Client Contact Guidelines: Direct all client needs to a client advocate who can determine the most appropriate way to assist. It is not permitted to offer personal assistance to clients. This includes any kind of financial help or giving rides. When interacting with clients, do your best to help inform them on the variety of services HHC offers. Ways You Can Help: Cash donations to HHC programs Donate clothing/household goods Donate gas cards/gift cards Give your time and energy I have read, understand, and agree to comply with the guidelines above. *

PHOTOGRAPHY AND VIDEO RELEASE FORM: I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be copied, edited, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse setting within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: conference presentations social media and online presentations informational presentations By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the internet or in the public setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. I have read, understand, and agree to comply with the guidelines above. *

Thank you for applying to be a volunteer at Help & Hope Center! Our volunteer coordinator will review your application and get in touch to reivew your goals.

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Thank you to our donors.

We are grateful for each and every gift of time and resources. No help is too small.

Help & Hope Center is a proud member of Food Bank of the Rockies

1638 Park Street

Castle Rock, CO 80109

303.688.1114, extension 20

TREASURES THRIFTIQUE

CLIENT SERVICES

Mon - Fri: 8:30 am - 12:00 pm
Sat - Sun: Closed

ADMINISTRATION

Mon - Fri: 9:00 am - 4:30 pm
Sat - Sun: Closed

DONATION HOURS

Mon - Fri: 9:00 am - 12:00 pm
Saturday: 9:00 am - 2:00 pm
Sunday: Closed

TREASURES THRIFTIQUE HOURS

Mon - Fri: 9:00 am - 5:00 pm
Saturday: 9:00 am - 4:00 pm
Sunday: Closed

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