Who We Are
Missions & Values
Board of Trustees
What We Do
Programs & Services
Fill and submit this form or print and return the
Are you over 18 years of age?
If under 18, list date of birth
Address Line 2
State / Province / Region
ZIP / Postal Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Congo, Democratic Republic of the
Congo, Republic of the
Northern Mariana Islands
Palestine, State of
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Prefered method of contact
Occupation or School
Please explain relevant experience, qualifications, and interests:
Please name the program you are interested in volunteering for and why:
List time and hours available, include start and end date:
You may enter a time on each line like: Tuesdays | 5-7pm | 8/20/2015
List three people as references who are not relatives and that we can contact to know more about you.
Please check each statement for confirmation purposes:
I understand that I am allowed to promote our services, but the identity of Adelante’s clients is absolutely confidential
I understand that if I am uncertain about a subject or task, you will ask an Adelante staff to help you to resolve it
I will do my best and make responsible decisions, including calling 24 hours in advance if I am unable to attend my volunteer hours, ask for help if I am overwhelmed, and report concerns or suggestions to Adelante staff
All information included in this application is accurate.
Have you ever been convicted of a felony or misdemeanor other than a minor traffic offense?
If you have been convicted, please explain nature and location of conviction:
I hereby certify that the information and facts set forth in this volunteer application are true, complete and accurate to the best of my knowledge. I understand that any falsifications, misrepresentations or omissions of any facts in this application or other documents submitted for consideration of volunteer opportunities will be cause for denial or immediate termination, regardless of the timing or circumstances of discovery. I agree and understand that as a volunteer, Adelante is not obligated to provide me any payment or benefit for my services. I also agree to release the Adelante, its Board of Trustees, employees and agents (collectively “Adelante”) from any liability in the event I am injured or suffer damage as a result of the negligence of Adelante. I agree not to pursue any claim or initiate any action against Adelante in the event I am injured or suffer damage as a result of the negligence of Adelante. I understand and agree that this express assumption of risk, release and waiver is made on my own behalf and on behalf of my heirs, executors, representatives, assigns and when applicable, my minor child. I agree to advise Adelante in writing of any physical limitations which could affect or be affected by any volunteer activities I assume. I understand it is my responsibility to provide this information and I release Adelante from any liability for injuries or illnesses which result from my failure to advise Adelante in writing of any such limitations. I understand that Adelante may require alcohol, drug and substance abuse screening, and I consent to such an examination and authorize the release of the results of such an examination to Adelante. I hereby authorize investigation of all statements in this application and request any company, institution, or persons contacted as part of this investigation to provide any and all pertinent information. Adelante, Inc. reserves the right to obtain background and criminal history information.
Verification of Understanding
I have read, understand, and agree with all of the above.
This field is for validation purposes and should be left unchanged.