Sign up to serve with us!
We would love to get a bit of information from you so we can get you plugged in. We want you to be able to use your gifts and talents to make a difference in our city! Don't worry. This is all confidential to our staff!

Thank you for partnering with us to serve southern Indiana!
Sign in to Google to save your progress. Learn more
Name *
Phone *
Email *
Church affiliation
Emergency Information
Emergency contact name *
Relationship to emergency contact
Emergency contact - Primary phone number *
Emergency contact - Secondary phone number
Physician's name
Physician's phone number
I give my permission for Hope Southern Indiana to call my emergency contact, my doctor, or take me to the hospital if deemed necessary *
Please include any special instructions we should know about in case of an emergency.
Would you like us to know any other information that would be helpful in an emergency (medications, chronic conditions, ect.)?
Just one of those things we gotta ask...
Have you been convicted of a non-traffic offense? *
If you answered yes to the question above, please explain
Volunteering Spots
Have you served with us before?
Clear selection
Is there a specific volunteer opportunity you want to do?
We have different serving opportunities each day!
Morning (9-12:30)
Afternoon (12:30-3:30)
Special Occasions and Events:
If our day-to-day operations don't fit in your schedule no fear! Throughout the year we have occasions and events that may be perfect for you!
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hope Southern Indiana. Report Abuse