Volunteer Questionnaire & Release form for Whole Way House
Thank you so much for your interest in volunteering at Whole Way House!

In section 1 of this form you complete our Volunteer Questionnaire & Release Form so we can get to know you a little better! Please read through our Code of Conduct & Release Form thoroughly.

In section 2 you will watch our Orientation Videos (approx 35 mins) to learn more about WWH and give you an overview of what to expect when volunteering in the Downtown Eastside.

After you have completed your video orientation you will receive a link to sign up for volunteering shifts and be added to our Volunteer Email list! We look forward to having you join our programs!
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Whole Way House - Code of Conduct & Release Form

1- I agree to follow the instructions of the staff, the health authority and our government.
2- I agree to self-monitor daily for signs and symptoms of illness and not attend my shift if I am ill.
3- I agree to wear the appropriate PPE (personal protective equipment) as instructed by Whole Way House staff and to follow 4- infection prevention and control protocols including diligent hand hygiene.
4- I agree to stay with a staff member at all times.
5- I agree to behave in a kind and respectful manner with any and all people at WWH. I will treat others as I would like to be treated.
6- I agree to not counsel or advise attendees, but to solely offer compassion and support.
7- I agree to dress appropriately (no revealing clothing please).
8- I agree to act in a safe manner, for my safety and the safety of those around me. I will not bring weapons into WWH - including pocket knives. I will wear closed toed shoes and will take care of myself so that I can help take care of others at WWH. I agree to speak to a staff member if an issue arises regarding safety, harassment or anything else that may put myself or others in danger or at risk, including information regarding thoughts of suicide or harming a minor.
9- I agree to tell a staff member or call the appropriate authorities if someone shares information regarding thoughts of suicide or harming a minor.
10- I agree to an oath of confidentiality outside of WWH. I will not share personal or professional information regarding WWH, its staff or attendees outside of WWH, or photograph any of the events or attendees.
11- I agree to not push my religion, beliefs, political views or any such thoughts that may infringe on the comfort of WWH staff, volunteers, interns and/or attendees.
12- I agree to be a team-player by following the instructions of the WWH staff to the best of my ability, and working with others to benefit the charity and the attendees of WWH.
13- I agree to be sober, not use vulgar language while at WWH.
14- I agree that Whole Way House, it’s staff and/or Board of Directors will not be held responsible for my physical, mental, or emotional well being. I acknowledge that WWH will do it’s best to keep a safe and healthy environment, however, I agree that volunteering/interning at WWH is my choice and will not hold them responsible for any harm that may come my way. I understand the purpose of WWH is to help those in need in Vancouver’s downtown eastside and that it can be a dangerous area. I will do my best to stay out of dangerous situations, and behave in a way that does not provoke violence or danger of any kind. I will remove myself physically from any altercation or high risk scenario.
15- I will not accept or receive gifts of any kind from the attendees of WWH. In the event that I wish to gift an attendee, I will donate through WWH. I will not accept invitations to the attendees home or to be alone or to be unsupervised by a WWH staff member. I will speak to a staff member about any and all invitations from an attendee that are outside of a WWH program.
16- I agree to respect and protect personal information by only revealing generalized information about myself (no Facebook, addresses, phone numbers etc.), and maintaining a first name basis with WWH’s attendees.
17- I will contribute to a safe and healthy workplace, and respect attendees’ personal space by not engaging in any form of physical contact.
18- I understand that WWH may photograph events for photo albums, social media uses or other purposes. I agree to inform the photographer in the event that I do not wish to be photographed.
19- If I discontinue volunteering with WWH, I agree to not visit the Veterans Manor (or other residential building WWH operates in) for a period of 6 months after my involvement, at which time I can request permission from WWH.
20- Take care of yourself so you can help take care of others. I understand that in order to best serve WWH’s clients, I must first take care of my own health. (think airplane mask)

First Name *
Last Name *
Name of your group or organization (if applicable)
Phone Number *
Mailing Address
Your Email Address *
I would like to receive an email: *
How did you hear about Whole Way House? *
Facebook, Twitter, Instagram, Website, a friend (please name), other
Follow us on Facebook and Instagram @wholewayhouse to see pictures that we take of your group!
By typing my full name, I consent to abiding by the Whole Way House Code of Conduct, and do not hold Whole Way House Society liable for my safety or well-being. *
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