Recovery Café Longmont Volunteer Application
Thank you for applying to serve in the RCL community! Please fill out the application below.
Email address *
Personal Information
Name *
Your answer
Address and Phone Number *
Your answer
Would you like to receive our e-newsletter? *
Employment
Level of Education
We serve people recovering from substances, mental health, disordered eating, gambling and sex addiction, domestic violence, sexual abuse, and homelessness. What is your familiarity with these issues? *
Your answer
Is there anything relevant to our mission that we should know about you? *
Your answer
Are you able to pass a background check? *
I authorize photographs of myself to be used for promotional purposes. *
Volunteer Information
What is your volunteer area of interest? *
Required
I understand the Ambassador of Hospitality role requires additional and separate training led by our staff.
Our minimum requirement is a 4-hour per month, 3-6 month commitment. I am able to volunteer: *
Required
I can volunteer on the following days: *
Required
I am able to volunteer during the following times: *
Required
*Confidentiality*. In my capacity as a volunteer with Recovery Café, I agree not to discuss by name or any other characteristics by which a member, volunteer or donor could be identified without their permission to do so. If a problem of safety or harm arises, I will bring it to the attention of the Staff immediately. *
As a member of the Recovery Café Longmont community, I agree to abide by the Guiding Principles: Connect with Divine Love in Ourselves and Others, Show Respect, Practice Forgiveness, Encourage Growth, and Give Back. *
In addition, I agree to the following guidelines: I will be free from illicit drugs and alcohol; pay attention to the power of touch when engaging with Members; communicate with the Volunteer Coordinator if I am unable to be at the Café for my scheduled volunteer shift; work to establish and maintain safe environments by preserving appropriate boundaries with Members; consult with staff when giving or accepting gifts from Members; only meet with Members in the Café hospitality area; immediately report any improprieties to Café staff; and promote a spirit of inclusion and welcome individuals from all backgrounds. *
*Waiver* I hereby, for myself, knowingly and voluntarily enter into this waiver of liability and hereby waive any and all rights, claims, or causes arising from the participation in the Activities, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, psychological injury, economical or emotional loss, or actions of any kind which may hereafter occur to me at Recovery Café, located at 402 Kimbark, Longmont, Colorado 80501 and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, and sponsors. I acknowledge that Recovery Cafe and their directors, officers, volunteers, representatives, and agents are NOT responsible for injury and are released of liability. Please sign your legal name in text box. *
Your answer
Thank you!
Submit
Never submit passwords through Google Forms.
This form was created inside of Recovery Café Longmont. Report Abuse - Terms of Service