Houston Harm Reduction Project |
Volunteer Application |
It is
the policy of HHRP to provide information and opportunities without
regard to race, sex, age, national origin, religion, marital status, sexual
orientation, or physical or mental disability which can be reasonably
accommodated. |
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| PERSONAL: |
Name: Last
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First
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M.I.
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Street Address
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Home Phone
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Daytime Phone
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Pager/Cell
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Email
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| Person to Contact
in the Event of an Emergency |
Name
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Relation
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Day Phone
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Home Phone
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How
did you hear about hhrp?
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Why are you interested
in volunteering for hhrp?
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| Are you at least
18 years old?
Answering no does not bar you from volunteering for
hhrp, but does require parental approval. |
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| Do you have reliable
transportation to transport boxes and a table reliably to or from events?
Answering no does not bar you from volunteer opportunities. |
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| INTEREST: |
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Answering email inquiries |
Working HHRP booth |
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Copy support |
Purchasing |
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Other
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| SKILLS:Please
list any skills you may have that might be of assistance to us (CPR, First
Aid, EMT, peer counseling, customer service) |
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| TIME COMMITMENT:
Please indicate which hours you are able to volunteer at parties in general.
*Note: This does not indicate any set volunteer working hours or a guarantee
of times. |
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Any |
9 p.m. - 1 a.m. (set up)
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1 a.m. - 4 a.m. |
4 a.m. - close (take down)
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Day time/from home |
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| WORK
AREAS: In what areas are you able/willing to work? |
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Any |
Northend |
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Southend |
Downtown |
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Outside Houston |
From home only |
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| VOLUNTEER STATEMENT
OF UNDERSTANDING: I hereby volunteer my services to HHRP. These
services are by my own free choice and I will receive no wages. I will
thoroughly study and acquaint myself with any and all dangers inherent
in any volunteer assignment and I will not accept any work assignment
I feel I am not qualified for or am uncomfortable in performing. I waive
all claims for personal injuries or damages to property against HHRP
and hold them harmless from all claims and liabilities of whatsoever nature,
arising out of my participation in any and all aspects of HHRP's
programs. I understand that either HHRP or myself may cancel this
agreement at any time by notifying the other party. I further understand
that I must remain sober when performing any volunteer work for HHRP. |
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