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Required fields are marked with an asterisk (*). First Name *
Last Name *
Mobile Phone *
For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Blanchet House of Hospitality volunteer activities, including shift reminders and cancellations.
To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
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
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
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
I agree personally to serve as a volunteer--or as the parent or legal guardian of a minor (age 14 – 17) agree to permit my Child to volunteer--for the Blanchet House of Hospitality [Blanchet House]. I hereby freely and voluntarily execute this VOLUNTEER WAIVER AND RELEASE under the following terms:
I understand and acknowledge that:
Blanchet House serves a diverse community and without regard to an individual’s race, religion, color, sex, pregnancy, national origin, health, disability, age, gender identification, sexual orientation, genetic information, or any other status protected under federal, state or local law.
Blanchet House clients may experience physical and/or mental health challenges or crisis, substance use or addiction challenges or crisis, and trauma.
I may witness as part of my volunteer service, including in areas proximate to the Blanchet House facility, individuals in significant emotional, physical, or substance-use associated distress. This may include episodes of a drug overdose or other medical emergency that may require emergency medical response.
I understand and acknowledge that these and similar situations, conditions, and behaviors may be difficult or upsetting to witness and experience; and I confirm that I am able to safely and appropriately volunteer in such an environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that there is an inherent risk of exposure to aggressive, confrontational, or violent conduct, including the possibility of physical attack. I further understand and acknowledge that due to the aforementioned illnesses and challenges, Blanchet House clients may behave in unpredictable ways. I understand and acknowledge that Blanchet House provides guidance, training, and supervision to promote a safe environment but cannot eliminate all potential risks.
For Parents/Legal Guardians: I confirm that I have discussed the conditions and risks described above with my Child, and I confirm that my Child is able to safely and appropriately volunteer in this environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that my time / my Child’s time with Blanchet House may include various activities that may be hazardous to me / my Child, and I hereby expressly and specifically assume the risk of injury or harm in these activities and RELEASE Blanchet House from all liability for injury, illness, death, or property damage resulting from the activities of my time / my Child’s time with Blanchet House.
By signing this WAIVER AND RELEASE, I voluntarily assume on behalf of myself or my Child all such risks associated with volunteering, including those that may arise from the acts or omissions of clients, guests, other volunteers, Blanchet House employees, Blanchet House residents, private or public safety/security personnel, or members of the public.
On behalf of myself or my Child, and except where prohibited by law, I RELEASE AND HOLD HARMLESS Blanchet House, its employees, directors, agents, and representatives from any and all liability, claims, or damages resulting from injury (including physical or emotional harm), either in law or in equity, which may arise or may hereafter arise from my / my Child’s volunteer experience with Blanchet House.
I further acknowledge that Blanchet House does not assume any responsibility for or obligation to provide financial or other assistance --including but not limited to medical, health or disability insurance--in the event of injury, illness, death or property damage that may arise directly or indirectly from my or my Child’s volunteer experience.
I understand and acknowledge that I expressly RELEASE AND HOLD HARMLESS Blanchet House from:
any such claim for compensation or liability on the part of Blanchet House beyond what may be offered freely by the representative of Blanchet House in the event of such injury or medical expense;
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 / my Child’s time with Blanchet House.
I expressly agree that this WAIVER AND RELEASE 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 AND RELEASE 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 AND RELEASE 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 WAIVER AND RELEASE which shall continue to enforceable.
For Parents/Legal Guardians of Minor Volunteers:
I, the Parent/Legal Guardian of a Minor Volunteer, agree to the above and following provisions on behalf of my Child, myself, and any other Parents/Legal Guardians.
I agree that my Child, while engaged in Volunteer Service and while at Blanchet House facility, shall follow directions and assignments provided by Blanchet House staff members or their designee, as well as any school or organization chaperones (if applicable). I agree that Blanchet House is not responsible for providing transportation for my Child to or from Blanchet House. I agree that Blanchet House may in its sole discretion refuse to allow my Child to participate in the volunteer activity or any future volunteer activities.
MEDICAL HEALTH: I hereby warrant that to the best of my knowledge, my Child is in good health suitable for this volunteer activity, and I assume all responsibility for the health of my Child.
EMERGENCY MEDICAL RESPONSE: In the event of an emergency, I hereby give permission for emergency medical personnel to transport my Child to a hospital for emergency medical or surgical treatment. I further agree that to assume full and complete financial responsibility for all costs associated with emergency medical transportation and subsequent medical treatment and hospital/clinic services. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me, contact the Emergency Contact identified for my Child.
PHOTOGRAPHIC RELEASE ON BEHALF OF MINORS: I, the Parent/Legal Guardian, understand and acknowledge that in the performance of Volunteer Service, my Child may be photographed or videoed by Blanchet House staff. I permit the use of my Child’s image to promote the work of Blanchet House. I understand and acknowledge that images may be used in print publications, online publications, presentations, websites, and social media. I also understand and acknowledge that no royalty, fee or other compensation shall become payable to me or my Child by reason of such use. To affirmatively revoke said consent, email the Volunteer Program Manager at volunteer@blanchethouse.org.
I agree personally to serve as a volunteer--or as the parent or legal guardian of a minor (age 14 – 17) agree to permit my Child to volunteer--for the Blanchet House of Hospitality [Blanchet House]. I hereby freely and voluntarily execute this VOLUNTEER WAIVER AND RELEASE under the following terms:
I understand and acknowledge that:
Blanchet House serves a diverse community and without regard to an individual’s race, religion, color, sex, pregnancy, national origin, health, disability, age, gender identification, sexual orientation, genetic information, or any other status protected under federal, state or local law.
Blanchet House clients may experience physical and/or mental health challenges or crisis, substance use or addiction challenges or crisis, and trauma.
I may witness as part of my volunteer service, including in areas proximate to the Blanchet House facility, individuals in significant emotional, physical, or substance-use associated distress. This may include episodes of a drug overdose or other medical emergency that may require emergency medical response.
I understand and acknowledge that these and similar situations, conditions, and behaviors may be difficult or upsetting to witness and experience; and I confirm that I am able to safely and appropriately volunteer in such an environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that there is an inherent risk of exposure to aggressive, confrontational, or violent conduct, including the possibility of physical attack. I further understand and acknowledge that due to the aforementioned illnesses and challenges, Blanchet House clients may behave in unpredictable ways. I understand and acknowledge that Blanchet House provides guidance, training, and supervision to promote a safe environment but cannot eliminate all potential risks.
For Parents/Legal Guardians: I confirm that I have discussed the conditions and risks described above with my Child, and I confirm that my Child is able to safely and appropriately volunteer in this environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that my time / my Child’s time with Blanchet House may include various activities that may be hazardous to me / my Child, and I hereby expressly and specifically assume the risk of injury or harm in these activities and RELEASE Blanchet House from all liability for injury, illness, death, or property damage resulting from the activities of my time / my Child’s time with Blanchet House.
By signing this WAIVER AND RELEASE, I voluntarily assume on behalf of myself or my Child all such risks associated with volunteering, including those that may arise from the acts or omissions of clients, guests, other volunteers, Blanchet House employees, Blanchet House residents, private or public safety/security personnel, or members of the public.
On behalf of myself or my Child, and except where prohibited by law, I RELEASE AND HOLD HARMLESS Blanchet House, its employees, directors, agents, and representatives from any and all liability, claims, or damages resulting from injury (including physical or emotional harm), either in law or in equity, which may arise or may hereafter arise from my / my Child’s volunteer experience with Blanchet House.
I further acknowledge that Blanchet House does not assume any responsibility for or obligation to provide financial or other assistance --including but not limited to medical, health or disability insurance--in the event of injury, illness, death or property damage that may arise directly or indirectly from my or my Child’s volunteer experience.
I understand and acknowledge that I expressly RELEASE AND HOLD HARMLESS Blanchet House from:
any such claim for compensation or liability on the part of Blanchet House beyond what may be offered freely by the representative of Blanchet House in the event of such injury or medical expense;
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 / my Child’s time with Blanchet House.
I expressly agree that this WAIVER AND RELEASE 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 AND RELEASE 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 AND RELEASE 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 WAIVER AND RELEASE which shall continue to enforceable.
For Parents/Legal Guardians of Minor Volunteers:
I, the Parent/Legal Guardian of a Minor Volunteer, agree to the above and following provisions on behalf of my Child, myself, and any other Parents/Legal Guardians.
I agree that my Child, while engaged in Volunteer Service and while at Blanchet House facility, shall follow directions and assignments provided by Blanchet House staff members or their designee, as well as any school or organization chaperones (if applicable). I agree that Blanchet House is not responsible for providing transportation for my Child to or from Blanchet House. I agree that Blanchet House may in its sole discretion refuse to allow my Child to participate in the volunteer activity or any future volunteer activities.
MEDICAL HEALTH: I hereby warrant that to the best of my knowledge, my Child is in good health suitable for this volunteer activity, and I assume all responsibility for the health of my Child.
EMERGENCY MEDICAL RESPONSE: In the event of an emergency, I hereby give permission for emergency medical personnel to transport my Child to a hospital for emergency medical or surgical treatment. I further agree that to assume full and complete financial responsibility for all costs associated with emergency medical transportation and subsequent medical treatment and hospital/clinic services. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me, contact the Emergency Contact identified for my Child.
PHOTOGRAPHIC RELEASE ON BEHALF OF MINORS: I, the Parent/Legal Guardian, understand and acknowledge that in the performance of Volunteer Service, my Child may be photographed or videoed by Blanchet House staff. I permit the use of my Child’s image to promote the work of Blanchet House. I understand and acknowledge that images may be used in print publications, online publications, presentations, websites, and social media. I also understand and acknowledge that no royalty, fee or other compensation shall become payable to me or my Child by reason of such use. To affirmatively revoke said consent, email the Volunteer Program Manager at volunteer@blanchethouse.org.
By checking this box and entering my name, I affirm that I have read the Code of Conduct and the Waiver and agree to their terms.
I agree personally to serve as a volunteer--or as the parent or legal guardian of a minor (age 14 – 17) agree to permit my Child to volunteer--for the Blanchet House of Hospitality [Blanchet House]. I hereby freely and voluntarily execute this VOLUNTEER WAIVER AND RELEASE under the following terms:
I understand and acknowledge that:
Blanchet House serves a diverse community and without regard to an individual’s race, religion, color, sex, pregnancy, national origin, health, disability, age, gender identification, sexual orientation, genetic information, or any other status protected under federal, state or local law.
Blanchet House clients may experience physical and/or mental health challenges or crisis, substance use or addiction challenges or crisis, and trauma.
I may witness as part of my volunteer service, including in areas proximate to the Blanchet House facility, individuals in significant emotional, physical, or substance-use associated distress. This may include episodes of a drug overdose or other medical emergency that may require emergency medical response.
I understand and acknowledge that these and similar situations, conditions, and behaviors may be difficult or upsetting to witness and experience; and I confirm that I am able to safely and appropriately volunteer in such an environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that there is an inherent risk of exposure to aggressive, confrontational, or violent conduct, including the possibility of physical attack. I further understand and acknowledge that due to the aforementioned illnesses and challenges, Blanchet House clients may behave in unpredictable ways. I understand and acknowledge that Blanchet House provides guidance, training, and supervision to promote a safe environment but cannot eliminate all potential risks.
For Parents/Legal Guardians: I confirm that I have discussed the conditions and risks described above with my Child, and I confirm that my Child is able to safely and appropriately volunteer in this environment and with marginalized, vulnerable, and distressed community members.
I understand and acknowledge that my time / my Child’s time with Blanchet House may include various activities that may be hazardous to me / my Child, and I hereby expressly and specifically assume the risk of injury or harm in these activities and RELEASE Blanchet House from all liability for injury, illness, death, or property damage resulting from the activities of my time / my Child’s time with Blanchet House.
By signing this WAIVER AND RELEASE, I voluntarily assume on behalf of myself or my Child all such risks associated with volunteering, including those that may arise from the acts or omissions of clients, guests, other volunteers, Blanchet House employees, Blanchet House residents, private or public safety/security personnel, or members of the public.
On behalf of myself or my Child, and except where prohibited by law, I RELEASE AND HOLD HARMLESS Blanchet House, its employees, directors, agents, and representatives from any and all liability, claims, or damages resulting from injury (including physical or emotional harm), either in law or in equity, which may arise or may hereafter arise from my / my Child’s volunteer experience with Blanchet House.
I further acknowledge that Blanchet House does not assume any responsibility for or obligation to provide financial or other assistance --including but not limited to medical, health or disability insurance--in the event of injury, illness, death or property damage that may arise directly or indirectly from my or my Child’s volunteer experience.
I understand and acknowledge that I expressly RELEASE AND HOLD HARMLESS Blanchet House from:
any such claim for compensation or liability on the part of Blanchet House beyond what may be offered freely by the representative of Blanchet House in the event of such injury or medical expense;
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 / my Child’s time with Blanchet House.
I expressly agree that this WAIVER AND RELEASE 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 AND RELEASE 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 AND RELEASE 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 WAIVER AND RELEASE which shall continue to enforceable.
For Parents/Legal Guardians of Minor Volunteers:
I, the Parent/Legal Guardian of a Minor Volunteer, agree to the above and following provisions on behalf of my Child, myself, and any other Parents/Legal Guardians.
I agree that my Child, while engaged in Volunteer Service and while at Blanchet House facility, shall follow directions and assignments provided by Blanchet House staff members or their designee, as well as any school or organization chaperones (if applicable). I agree that Blanchet House is not responsible for providing transportation for my Child to or from Blanchet House. I agree that Blanchet House may in its sole discretion refuse to allow my Child to participate in the volunteer activity or any future volunteer activities.
MEDICAL HEALTH: I hereby warrant that to the best of my knowledge, my Child is in good health suitable for this volunteer activity, and I assume all responsibility for the health of my Child.
EMERGENCY MEDICAL RESPONSE: In the event of an emergency, I hereby give permission for emergency medical personnel to transport my Child to a hospital for emergency medical or surgical treatment. I further agree that to assume full and complete financial responsibility for all costs associated with emergency medical transportation and subsequent medical treatment and hospital/clinic services. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me, contact the Emergency Contact identified for my Child.
PHOTOGRAPHIC RELEASE ON BEHALF OF MINORS: I, the Parent/Legal Guardian, understand and acknowledge that in the performance of Volunteer Service, my Child may be photographed or videoed by Blanchet House staff. I permit the use of my Child’s image to promote the work of Blanchet House. I understand and acknowledge that images may be used in print publications, online publications, presentations, websites, and social media. I also understand and acknowledge that no royalty, fee or other compensation shall become payable to me or my Child by reason of such use. To affirmatively revoke said consent, email the Volunteer Program Manager at volunteer@blanchethouse.org.
By checking this box and entering my name, I affirm that I have read and discussed the Code of Conduct and the Waiver with my child and agree to their terms. I AM THE LEGAL PARENT/GUARDIAN OF THE INDIVIDUAL NAMED IN THIS APPLICATION AND CONSENT TO THEIR VOLUNTEERING.