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Current/Past Group Member or Volunteer
OUR HOUSE Staff or Board
School, Community or Religious Organization
Other Referral Source
I certify that the information supplied is true and complete to the best of my knowledge. I authorize all persons and institutions referred to in this application to provide OUR HOUSE with any information that is requested in connection with
this application. I hereby release all of these persons and institutions and OUR HOUSE from any and all claims, liabilities, and damages for whatever reason arising from the verification process. I understand that further steps in the application process may include checking of references, background checks, passing a drug screen, and satisfactorily completing a health evaluation required by this agency. I understand that if I become a OUR HOUSE Volunteer, I agree to adhere to the standards of conduct/performance and the personnel policies of OUR HOUSE.
OUR HOUSE does not discriminate against any person on the basis of race, color, national origin, handicap, or age in admission, treatment, or
participation in its programs, services and activities, or employment.
Although we attempt to place every volunteer, we reserve the right to reject a volunteer candidate based on other criteria.
sign and press "send" button ONCE and wait for a confirmation. thank you