Application Form Once you have chosen the position you would like to apply to, click here to download a printer-friendly PDF application. Otherwise, simply fill out the form below to submit your application online. Online Application Form Please select the position you are applying for below Employment Internship Volunteer Your Name (first, middle and last) Home Address Apt/Suite # City State Zip Phone Numbers (please include area codes) Cell Home Work Sex Female Male Email Address Date of Birth: Day Month Year T-Shirt Size (Volunteers are required to wear our DoH shirt for most events) SmallMediumLargeExtra Large * Shirts are $5.00 each Employer Position Work Address City State Zip Why are you interested in working with Discoveries of Hope Foundation? Please select the positions that best describe your area of interest(you may select more than one) Pre-Event Setup Event Planning Post-Event Activities Advertising & Marketing Food Preparation Registration Transportation Volunteer Coordinator Public Relations Gift Bag Donations Special Events Host/Hostess Sponsorships Guest Relations Vendor Coordination Please list any languages that you speak, read and/or write fluently, in addition to Enlgish Have you volunteered for other organizations? (if yes, please explain below) Yes No Organization Name Describe volunteer dates and services below Organization Name Describe volunteer dates and services below Describe any relevant work experience Do you have any hobbies or special talents? What age group do you enjoy working with the most? (you may select more than one) Infants (ages 0-1) Tots (ages 2-4) Youth (ages 6-12) Teens (ages 13-18) Adults (18 & older) Please list 3 references who can attest to your character and work ethic Reference Name Relationship Time Known Phone Number Reference Name Relationship Time Known Phone Number Reference Name Relationship Time Known Phone Number Have you ever been convicted of any of the following? (please check yes or no) a) Felony Yes No b) Any crime involving a sexual offence, an assault, or the use of a weapon? Yes No c) Any crime involving the use, possession or the furnishing of drugs or hypodermic syringes? Yes No d) Reckless driving, operating a motor vehicle while under the influence, or driving endanger? Yes No If you answered "Yes" to any of the above four items, please explain below. Discoveries of Hope has my permission to:Please check below 1) Run a background check on me. Yes No Please provide your social security number 2) Contact the three (3) references I provided. Yes No 3) Provide a driver license and run a motor vehicle records check if I decide to operate a Discoveries of Hope vehicle or golf cart. Yes No By providing my digital signature below, I affirm that I have answered all questions truthfully. I understand that if any portion of this application is found to be intentionally false, I may be denied the right to volunteer/work/intern for Discoveries of Hope. Signature (please type in your full name) Date of Application Release for PublicationPlease initial below During the course of the DoH experience, there will be occasions when you may be photographed and/or videotaped by staff, sponsors, corporate representatives, media and others. We request permission for your participation. By initialing below, you may choose to grant or deny DoH permission to use photographs or videotape yourself, alone or in groups, in newspaper articles, newsletters, web-site, online, brochures, special fundraising activities, scrapbook, videos and photo albums for use in public understanding and support of the Discoveries of Hope Foundation program. By granting permission below, you hereby release and hold harmless DoH from any claims, judgments or demands which may arise from the use of the above referenced photographs and/or videotapes. Yes, I give permission to be photographed and/or videotaped for publication No, I do not give permission to be photographed and/or videotaped for publication Please type your initials to verify the choice you have made above Permission to Participate & Release of Claims I, (your full name) hereby understand and agree to travel to the DoH events as a volunteer. I understand that I will travel by company van or drive my personal vehicle to DoH events. I understand that while at the event, depending on the venue, I may be asked to participate in physical activities including, but not limited to lifting, bending, carrying items, arranging displays, picking up equipment, etc. It is my responsibility to advise the DoH staff of my limitations to prevent any injury of harm. In consideration of participation in DoH events I, for myself, heirs, executors, and administrators, hereby personally, release, indemnify, save and hold harmless, acquit, forever discharge and waive any claims or causes of action which I may now or hereafter have against DoH and other participating agencies, all corporate sponsors and collaborators, and their respective subsidiaries and affiliates and any and all of their officers, directors, trustees, agents, servants, associates, employees, representatives, shareholders, beneficiaries, successors, and assigns, of all liabilities, claims, actions, damages, costs, or expenses which they or I may now or hereafter have arising out of or in any way connected with participation in DoH events, including, but not limited to, travel to or from the events and injuries which may be suffered before and/or during the event. I understand that this waiver includes any claims based on negligence, action or inaction of the above parties. I understand that I am assuming the risk for any activities we participate. Printed Name (please type in your full name) Date of Application Medical History and InformationAll of this information is confidential and will only be shared with the medical staff and professionals at the event in case of emergency. It is extremely important that you list all current allergies to medication and or foods, along with any over the counter or prescription medications. Do you have any allergies to any food, medicines or substances? (if yes, please list below) Yes No Allergies Reaction Allergies Reaction Allergies Reaction Do you have any food restrictions? (vegetarian, no meat, gluten-free, etc.) Yes No If you answered "Yes" to the above question, please list your restrictions below. Do you have any health conditions that may limit your participation? Yes No If you answered "Yes" to the above question, please list your health conditions below. Due to the hight emotional demands of this job during peak periods, is there anything DoH needs to be made aware of to ensure that your experience is a pleasant one? Yes No If you answered "Yes" to the above question, please explain below. Are you currently taking/using any over the counter and/or prescription medication? Yes No If you answered "Yes" to the above question, please list all current medications below. Medications Amount How Often Physician InformationPlease list your primary care physician only Name Phone Number Work Address Medical Insurance Company Name Phone Number Name of Policy Holder Member ID: Group # Phone # Emergency Contact Name Relationship Phone # Permission to Administer TreatmentPlease sign and date below The information contained in this Medical History Form is correct and complete to the best of my knowledge. I can engage in Discoveries of Hope events and activities with exception to those noted on this form and agree to abide by any restrictions placed on me. I hereby give permission to Discoveries of Hope on-site professional health staff to provide routine health care, administer prescribed medications (if necessary), and seek emergency medical treatment. I agree to the release of any records necessary for insurance purposes. I give permission to Discoveries of Hope to arrange necessary health-related transportation for me. If necessary, a copy of this completed form may be used for any off-site travel and/or events that I may participate in. Signature (please type in your full name) Date of Application Discoveries of Hope Foundation, Inc., is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.