Out of the Cold: Volunteer Application Form

Thanks for your interest in volunteering at the Out of the Cold. The shelter runs from Dec 1, 2017 until April 30, 2018. We couldn’t open without the help of our dedicated volunteers! Please complete the application form and return it to .

Name (Please Print):

Address:

Email (Shift reminders are sent by email):

Home Phone: Cell Phone:

Note: Front line volunteers must be at least 18 years or older.

Volunteer Shifts

Have you done volunteer shifts at Out of the Cold in the past? Y/N: If Y, how many seasons? ______

Please check the shifts you could be available for with an “X”:
(Note – if selected to volunteer, we will schedule you for shifts based on the availability you indicate below)

Morning (6am to 8:30am) / Evening (8pm to 11:30pm) / Overnight (11pm to 6:30am)
Weekly / Bi-Weekly / Weekly / Bi-Weekly / Weekly / Bi-Weekly
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Preferred frequency of shifts: Bi-Weekly_____ Weekly______More than weekly (list number)______

Relief Volunteer: Would you like to receive calls/emails when we have last minute shifts to fill (Y/N)?____

Emergency Weather: Do you live within walking distance of OTCS and would you be interested in receiving calls/emails when we have emergency weather shifts to fill (e.g., blizzard conditions) (Y/N)?____

Will you be away over the December holidays? Y / N (If yes, please list dates away ______)

Would you be willing to take on more shifts over the upcoming holidays? Y / N

If Yes, when/how many______

Other Volunteer Opportunities (please check those you would be interested in):

ÿ  Assisting with community programming

ÿ  Providing hot meals, sandwiches, or baked goods on a monthly, bi-weekly, or weekly basis

ÿ  Laundry (Transporting to and from the Laundromat)

ÿ  Daytime Project Team (Meeting weekly or biweekly to do tasks at the shelter)

ÿ  Transportation of supplies or furniture as needed (Truck or van is required)

Out of the Cold: Volunteer Application Form – continued

Name:

Do you have current/valid:

ÿ  First Aid training (date obtained ______)

ÿ  Non-Violent Crisis Intervention Training (date obtained______)

Emergency Contact

Name:

Phone number:

Relationship:

New volunteers only – please provide the names and contact information of two references, which OTCS may contact:

Name: Relationship:

Phone: Email:

Name: Relationship

Phone: Email:

Use the space below to tell us about why you want to volunteer, as well as any relevant previous life / work / volunteer experience, as well as any trainings (e.g., ASIST, Mental Health First Aid), certificates, or special skills that you have (e.g., languages in addition to English) that may be relevant to your role as a volunteer with OTCS (point form is fine).

Thank you for your interest in volunteering with Out of the Cold.
Please note – we do not guarantee that everyone who submits an application will be selected to volunteer.

I hereby authorize Out of the Cold to obtain references from the referees listed above in connection with my application for a volunteer position. I hereby authorize the individuals named to provide a reference for me. I further authorize Out of the Cold to maintain this information for their records.

Volunteer Signature Date

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