Professional Volunteer Application
Thank you for reaching out to HCWC. We welcome the involvement of community members offering their professional skills and services to the agency and its clients. Agency clients often have a wide range of needs, some not possible for HCWC to meet directly. Partnering with the community is an important way to help ensure these needs are met in the fullest possible way.
Please complete the information below to help us determine how to connect you and/or your organization with potential opportunities to support HCWC.
# of hours I am willing to dedicate as a Professional Volunteer per month:
# of clients I am willing to see per month:
If at a Discounted Rate, as a Scholarship or Other, please explain:
The services offered to HCWC clients will be given:
Will you or a staff member be available to work with Spanish speaking only clients?
An alternate way to provide Professional Services to clients is by offering/donating gift certificates (when applicable). Are you interested in this option?
Special notes/preferences you would like us to be aware of:
Additional information you would like us to know about you or the service you are offering:
Optional Demographic Information
HCWC does not discriminate on the basis of race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, height, weight, physical or mental ability, veteran status, military obligations, and marital status. We are collecting demographics purely for statistical purposes. These questions are not mandatory.
Date of Birth
County of Residence
The Hays-Caldwell Women’s Center is committed to the safety and welfare of its clients. The Center is also committed to the confidentiality of all information regarding its clients as a means of ensuring their safety. Confidentiality is defined as the assurance that access to information regarding any client shall be strictly controlled, and that any violation of such control shall be a breach of faith. Confidential information shall include but is not limited to: Communications, information and observations made by, between or about adult and child clients, staff, volunteers, student interns and board members. Addresses of employment, residence and family addresses of clients, staff, volunteers, student interns and board members. Names of clients, staff, student interns and volunteers unless the individual provides written permission which is to be approved by the Executive Director. Photographs taken of clients, staff or volunteers. Volunteers must never release confidential information, either over the phone or in person, about the Center and its clients without the express permission of the Executive Director or a designated staff member. This includes release of information to board members, criminal justice personnel, family members, community supporters or other interested parties. I have read the Center’s Agreement of Confidentiality and agree to abide by its conditions of confidentiality.
Signature (Please type your full name)
Release of Liability
The Hays-Caldwell Women’s Center (HCWC) is unable to assume any liability on behalf of volunteers. Please read the following statements releasing HCWC from liability and indicate your understanding by your signature below. LIABILITY RELEASE I AGREE to respect the persons, privacy, and possessions of the clients, staff, and volunteers of the Hays-Caldwell Women's Center and to ensure that my children do the same. I RECOGNIZE that I alone am responsible for my safety and health, the safety and health of my children, and the safety and health of any other persons who might accompany me. I alone am responsible for my (our) possessions. The staff and/or volunteers at HCWC cannot safeguard or be responsible for my children, our possessions, or me. In respect to the services provided by HCWC to me and to those accompanying me, I UNDERSTAND that HCWC assumes no liability or responsibility whatsoever in connection with the services provided, for any act of omission or commission which might be constituted as negligence; nor for any loss, theft, or injury to persons or property; nor, during any transportation by staff, volunteers, or clients to or from any location; nor for any illness, damage, or inconvenience sustained by me, my children, or others accompanying me. I AGREE to hold HCWC, its staff, employees, interns, agents, volunteers, contributors, officers, and directors harmless from any and all claims, demands, debts, responsibilities, and/or liability relating to me, my children, or those accompanying me. By signing below, I certify that I have read and understood the above release of liability.