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Volunteer Application


Please complete this application to volunteer with Blanchet House and Farm.

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Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Blanchet House of Hospitality will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Date of Birth (must be 14 or older) *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
(Optional) How do you describe your race/ethnicity? We request this information to helps us better understand how we reflect the community we serve and can best meet the community's needs.
(Optional) What pronouns do you use?
Qualifications
Street Address
Address Line 2
City/Town
State
Zip Code
Employer or School
Emergency Contact Name *
Emergency Contact Phone Number *
How did you hear about Blanchet House? *
Email updates and news. *
Blanchet House has my permission to use my photograph publicly to promote the organization. The images may be used in print, online, presentations, websites, and social media. No royalty, fee, or other compensation shall become payable to volunteers. *
Code of Conduct
CODE OF CONDUCT

Blanchet House's Volunteer Conduct and Behavior Agreement contain guidelines designed to promote ethical, dignified, and professional services within our organization. Your commitment to these guidelines is vital to our mission and affirms the dignity and rights of all people who are served by Blanchet House. We conduct ourselves in ways that respect people and recognize their worth. We hold ourselves and each other to the highest standards of integrity and ethical conduct.

Respectful Boundaries
As a volunteer, we ask that you maintain respectful boundaries to protect yourself, residents, and meal guests. Relationships must remain professional at all times. Please:

● Avoid personal relationships with meal guests and residents. Please do not foster a relationship that is social, parental, romantic, or sexual, including sharing personal problems or feelings. Please avoid discussing politics or other potentially controversial topics.
● Do not under any circumstances share contact information with our residents or meal guests.
● Do not follow or friend our residents or meal guests on social media.
● Respect physical boundaries. Please do not hug guests and residents. Never touch a resident or meal guest or their possessions without their consent.
● Do not engage in conversation about alcohol or drug use. Many of the people we serve are challenged by addiction and can be triggered by such talk.

Confidentiality
● Please keep private anything you hear or know about someone you serve or are served. Please act in ways that promote confidentiality rather than disclosure of personal information. This policy is meant to encourage discretion at all times and is not intended to inhibit normal business communications or reports related to our discrimination and harassment policy.
● If you ever see a current or former resident or meal guest outside of Blanchet House, please take cues from the individual as to how they would like to interact. Some people would like to keep it private that they have used or currently use our services.

Discrimination and Harassment
We want to provide a safe, positive, and equitable environment for everyone volunteering and utilizing our services. This means an environment free from discrimination or harassment. Harassment can be based on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, marital status, age, expunged juvenile record, the performance of duty in a uniformed service, or physical or mental disability, or any other characteristic protected by local, state, or federal law, regulation, or ordinance, also violent behavior that is not necessarily illegal but still prohibited. We prohibit any conduct that a reasonable person would consider unwelcome, intimidating, hostile, threatening, violent, abusive, or offensive.

Sexual harassment includes, but is not limited to, the following types of conduct:
● Unwelcome sexual advances, requests for sexual favors, or other conduct of a sexual nature, when such conduct is directed toward an individual and submission to such conduct is made either explicitly or implicitly a condition of volunteering; or submission to or rejection of such conduct is used as the basis for decisions affecting that individual.
● Unwelcome verbal or physical conduct that is sufficiently severe or pervasive to have the effect of interfering with work performance or creating a hostile, intimidating, or offensive environment.

Reporting Harassment, Discrimination, or Inappropriate Behavior
Any volunteer aware of or experiencing discrimination or harassment should make a verbal or written report to the Volunteer Manager or the Executive Director in a timely manner. If you hear or see violations of any of our policies by volunteers, staff, or residents please report them. Please know that any form of retaliatory action toward a volunteer for filing a complaint of discrimination or harassment is prohibited.

Food Safety and Equity
All volunteers are required to watch the Oregon Food Bank Food Safety Video and Civil Rights Video. Please consult the Volunteer Handbook for additional orientation and volunteering information. Links to the videos can be found on the Blanchet House website (blanchethouse.org).

By continuing, I agree to uphold the Blanchet House Volunteer Conduct and Behavior Agreement, maintaining confidentiality, professional boundaries, and ethical service to the guests of Blanchet House. I further agree to uphold the standards and expectations set forth in the Volunteer Handbook.

Waiver

I agree to serve as a volunteer for the Blanchet House of Hospitality. I hereby voluntarily execute this Volunteer Waiver under the following terms:

I, the Volunteer, release and hold harmless the Blanchet House of Hospitality and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my volunteer service with the Blanchet House.

I understand that this Waiver discharges the Blanchet House of Hospitality from any liability or claim that I, the Volunteer, may have against the Blanchet House of Hospitality with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation on the Blanchet House of Hospitality's work site. I also fully understand that the Blanchet House of Hospitality does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance, in the event of injury, illness, death or property damage.

I, the Volunteer, understand that I expressly waive any such claim for compensation or liability on the part of the Blanchet House of Hospitality beyond what may be offered freely by the representative of the Blanchet House of Hospitality in the event of such injury or medical expense.

I hereby release the Blanchet House of Hospitality from any claim whatsoever which arises or may arise in the future on account of any first aid treatment or other medical services that are conducted in connection with an emergency during my time with the Blanchet House of Hospitality.

I understand that my time with the Blanchet House of Hospitality may include various activities that may be hazardous to me, and I hereby expressly and specifically assume the risk of injury or harm in these activities and release the Blanchet House of Hospitality from all liability for injury, illness, death, or property damage resulting from the activities of my time with the Blanchet House of Hospitality.

I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Oregon in the United States of America, and that this Waiver shall be governed by and interpreted in accordance with the laws of the State of Oregon. I agree that in the event that any clause or provision of this Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to enforceable.

COVID-19 ASSUMPTION OF RISK: I expressly affirm that I am aware of the public health directives recommending physical isolation in response to the current COVID-19 pandemic. I am further aware and affirm that Blanchet House of Hospitality cannot prevent the possibility of exposure to COVID-19 at its facility or during my transportation to and from its location. I am aware and affirm that volunteering at Blanchet House involves risk of exposure from staff, other volunteers, shelter residents, and/or the individuals Blanchet House is serving. I am expressly aware of and affirm the potential health risks that may occur if I am exposed to COVID-19, up to and including death, and that my exposure brings with it the possibility of my exposing others, including members of my household or other communities. I acknowledge and am aware of CDC and other public health recommendations concerning risks COVID-19 exposure presents to individuals in certain age groups and/or with high risk health conditions. I agree to adhere to any and all COVID-19 protocols required of volunteers at Blanchet House, including the proper wearing of a face covering and refraining from volunteer service when ill or when I have been exposed or potentially exposed to COVID-19. I affirm that this waiver, in its entirety, includes any and all liability or claim that I, the volunteer may have against the Blanchet House of Hospitality, with respect to any exposure I may have to COVID-19 as a volunteer.



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