HopeLink Volunteer Application Last Name First Name Middle Name Email Address Phone Number Date of Birth Street Address City Zip Emergency Contact Emergency Contact Name Emergency Relationship Emergency Phone Street Address City Zip Employment Status Employment StatusEmployedUnemployedRetiredStudent employment_location Volunteer Experience Work Experience Hear About Us Help Interest Limitations Check any and all volunteer opportunities of interest: Neighborhood Council Fundraising Committees Senior Food Program Volunteer Frequency Volunteer FrequencyWeeklyMonthlyBy Event CONFIDENTIALITY A HopeLink volunteer shall keep all information confidential that is produced, prepared, observed or received by the volunteer, in whatever form, to the extent that such information is confidential by law. INDEMNIFICATION As a volunteer for HopeLink of Southern Nevada, I agree to idemnify and hold harmless HopeLink of Southern Nevada from and against all liability, claims, actions, damages, losses and expenses that may arise out of the performance of volunteer duties. Signature Date Today If volunteer is under age 18, a parent/guardian must sign below and complete the Minor Release Form, which you can download here. As the parent/guardian of the Volunteer Applicant named on this form, I grant my permission for him/her to participate as an unpaid volunteer for HopeLink of Southern Nevada. Signature Date Today