Gratiot County Hope House

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Volunteer Application & Background Check Consent Form

Email *

First Name *

Middle Name *

Last Name *

List any/all previous name(s) used (maiden name, past married name, alias, etc.)

Date of Birth *

Current Address *

Length of time at current address? *

3 years or less

4 years or more

Previous address (only if answer to above question is "3 years or less")

Race: *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Hispanic or Latin

Gender *

Female

Male

Prefer not to say

Other:

Phone number *

Can this phone number receive text messages?

Yes

Clear selection

Consent to run background check *

The information contained above is truthful. By marking "yes" below I grant GCHH staff permission to run a criminal background check on me. I understand a completed background check must be on file at GCHH in order for me to volunteer, and that certain findings may restrict my ability to volunteer.

YES

I understand that Gratiot County Hope House is not responsible for the transmission of illnesses in the shelter, including COVID 19, or any medical bills related to illnesses contracted at the shelter. *

Yes

I have reviewed & understand the Gratiot County Hope House Shelter Manual (available here: http://www.gchopehouse.org/volunteer). *

Yes

Are you an Alma College Student? *

Yes

Comments

Note:

Once you have submitted your volunteer application, please feel free to sign up for a shift on our website (www.gchopehouse.org). You will ONLY hear from GCHH staff if there is a problem with your background check. We simply cannot followup with every person who submits a volunteer application.

If you have questions, please email volunteer@gchopehouse.org or call the shelter office 989-681-8486.

A copy of your responses will be emailed to the address you provided.

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