Online Application Form

Please select the position you are applying for below

EmploymentInternshipVolunteer

Your Name (first, middle and last)

Home Address Apt/Suite #

City State Zip

Phone Numbers (please include area codes)

Cell Home Work

Sex

FemaleMale

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 SetupEvent PlanningPost-Event ActivitiesAdvertising & MarketingFood PreparationRegistrationTransportationVolunteer CoordinatorPublic RelationsGift Bag DonationsSpecial EventsHost/HostessSponsorshipsGuest RelationsVendor 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)

YesNo

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

Have you ever been convicted of any of the following? (please check yes or no)

a) Felony YesNo
b) Any crime involving a sexual offence, an assault, or the use of a weapon? YesNo
c) Any crime involving the use, possession or the furnishing of drugs or hypodermic syringes? YesNo
d) Reckless driving, operating a motor vehicle while under the influence, or driving endanger? YesNo
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. YesNo
Please provide your social security number

2) Contact the three (3) references I provided. YesNo
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. YesNo

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.

Release for Publication
Please 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 publicationNo, 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.

Medical History and Information
All 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)YesNo
Allergies Reaction

Allergies Reaction

Allergies Reaction

Do you have any food restrictions? (vegetarian, no meat, gluten-free, etc.) YesNo
If you answered "Yes" to the above question, please list your restrictions below.

Do you have any health conditions that may limit your participation? YesNo
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? YesNo
If you answered "Yes" to the above question, please explain below.

Are you currently taking/using any over the counter and/or prescription medication? YesNo
If you answered "Yes" to the above question, please list all current medications below.

Physician Information
Please 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 Treatment
Please 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.

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.