Volunteer Application

Safe Haven Family Shelter





Thank you for your interest in volunteering with Safe Haven Family Shelter. Please complete this form and submit for review. Thank you!

  • Contact Information

  • About You

  • If you are currently employed, please list your employer and job title.
  • If you are currently in school, please list your school and grade/year.
  • If you are affiliated with a group, church, organization, etc., please specify:

  • Volunteer Info

  • (e.g. weekly, monthly, etc.)
  • Please use the space below to indicate when you are available to volunteer. (e.g. weekday evenings, overnight, weekends)

  • Safety & Background Info

  • If yes, what were the charges, conditions, etc?
  • In case of an emergency, or if you do not fulfill your volunteer shift, who can be notified? Please include a name, phone and/or email.

  • Waiver of Liability

  • I agree that my participation with Safe Haven Family Shelter is voluntary. I personally assume all risks in connection with the volunteer activity, and, if applicable, transportation to and from the volunteer duty, and I hereby expressly forever release Safe Haven Family Shelter from any claims, demands, injuries, damages, actions or causes of action whatsoever for any acts of active or passive negligence on the part of Safe Haven Family Shelter or the site where the volunteer activity occurs.

  • Electronic Signature

  • By entering your name and birth date in this space, you are signing this form and indicating everything on this form is true and correct. If you are under 18, please have your parent or guardian, please also have your parent/guardian sign this form.
  • As parent/guardian of the applicant, you are entering your name and birth date in this space, to sign this form and indicate everything on this form is true and correct.