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Apply to Volunteer/Mentor

We welcome individuals, groups, or an entire church or church group to mentor our children.

To be considered for mentoring/volunteering, you will need the following:

  • Completed Application:  (No fields should be left blank. Please do  not write "see resume" on any field.)
  • Driver's License of State Issued ID (Must be original-no copies allowed.)
  • Copy of High School Diploma or GED (High School Transcripts will be accepted.)
  • Social Security Card (Must be the original-no copies allowed.)

CHILDREN'S HOPE RESIDENTIAL SERVICE, INC. VOLUNTEER/MENTOR APPLICATION FORM

Children's Hope is an equal opportunity employer. Qualified applicants for employment will be considered without regard to color religion, sex, sexual orientation, age, national orgins, disability, or veteran status. Children's Hope prohibits discrimination in the workplace Children's Hope is a subscriber to Texas Worker's Compensation.

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Volunteer Questioneer

Today's Date
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GENERAL INFORMATION

Are you at least 18 years of age?(*)

Are you at least 18 years of age?

First Name(*)
Please enter your first name

Middle Name
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Last Name(*)
Please enter your last name

Maiden Name
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Address(*)
Please enter your current address

City(*)
Please enter the city where you live.

State(*)
Please enter the state where you live.

Zip Code(*)
Please enter your zip code.

Email Address(*)
Please enter a valid email address.

Home Phone(*)
Please enter your home phone number. (Cell if you don't have a land line.)

Cell Phone(*)
Please enter your cell number. (Enter your home number if you don't have a cell number.)

Social Security No(*)
Please enter your social security number.

Driver's License Number or State ID(*)
Please enter your drivers license number or state ID number.

Issuing State(*)
Please enter the state issuing your license/ID.

Hours you are available(*)
Please list hours you are available to volunteer or mentor.

Have you worked with Children's Hope before?(*)

Have you worked with Children's Hope before?

If yes, date and reason for leaving.
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EDUCATION

Name of High School(*)
Please include the name of your high school.

High School City/State(*)
Please include the city and state of your high school

Highest year of high school completed(*)

Please check highest grade completed.

Name of college attended
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City and state of college you attended
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Highest level of college completed

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Additional Education
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WORK HISTORY

List your most recent position first.
Explain any time period of unemployment.

Company(*)
Please list your current / last employer.

Date Hired(*)
Please enter the date you were hired.

Date left(*)
Please enter the date you left employment with this company.

Address of current / last employer(*)
Please include the address of your current or last employer.

City, State, Zip of current / last employer(*)
Please enter the city, state and zip of your current or last employer.

Supervisor's Name(*)
Please enter your current or last supervisors name.

Supervisor's contact number(*)
Please enter your supervisor's contact number.

Your current or last position or title(*)
Please enter your current or last position or title

Reason for leaving(*)
Please enter your reason for leaving.

PREVIOUS EMPLOYER'S INFORMATION

Company(*)
Please list your current / last employer.

Date Hired(*)
Please enter the date you were hired.

Date left(*)
Please enter the date you left employment with this company.

Address of current / last employer(*)
Please include the address of your current or last employer.

City, State, Zip of current / last employer(*)
Please enter the city, state and zip of your current or last employer.

Supervisor's Name(*)
Please enter your current or last supervisors name.

Supervisor's contact number(*)
Please enter your supervisor's contact number.

Your current or last position or title(*)
Please enter your current or last position or title

Reason for leaving(*)
Please enter your reason for leaving.

Explain any time period when you were not employed.
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CRIMINAL BACKGROUND CHECK AUTHORIZATION AND RELEASE FORM

CHILDREN'S HOPE RESIDENTIAL SERVICES

Criminal Background Check Authorization and Release Form

In order to mentor / volunteer at Children's Hope, you must undergo a Criminal Background Check to be completed through the Texas Department of Protective and Regulatory Services and FBI fingerprint process.
Please complete the following information:
First and Last Name(*)
Please enter your first and last name.

Alternate name / maiden name
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Telephone number(*)
Please enter your contact telephone number.

Social Security Number(*)
Please enter your social security number.

The following information is needed when accessing the DPS Background Check Website and is NOT used as determination for volunteering or mentorship.
Gender(*)

Please check one box for gender.

Ethnicity(*)

Please check your race.

Height(*)
Please enter your height in feet and inches.

Weight(*)
Please enter your weight in pounds.

Hair color(*)
Please enter your hair color.

Eye color(*)

Please select the closest color to your eye color.

City and state where you were born(*)
Please enter the city and state where you were born.

Your physical address. (No PO Boxes)(*)
Please enter your physical address. (No PO Boxes)

Mailing address (if different)
Please enter your mailing address (if different)

City(*)
Please enter the city where you live.

State(*)
Please enter the state where you live.

Zip code(*)
Please enter your zip code

ID or Drivers License number(*)
Please enter your current Driver's License number or State ID number.

State of issue(*)
Please enter the name of the state issuing the dirver's license or state ID.

Class of Driver's License
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Have you ever been convicted of a crime?(*)
Please select Yes or No

If you have been convicted of a crime, what, when, and where were you convicted?
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List all cities where you have lived in the state of Texas(*)
Please enter all cities where you have lived in Texas.

Have you lived outside the state of Texas in the last five (5) years?(*)

Please enter yes or no.

If yes, please list addresses, cities, and states where you have lived during the last five (5) years.
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I hereby authorize Children’s Hope Residential Services to conduct a Criminal Background Check for mentor/volunteer consideration.
I hereby authorize any law enforcement agency to furnish Children’s Hope Residential Services, or it’s agent information related to my criminal history. I hereby release Children’s Hope Residential Services and all of its agents and employees, the law enforcement agency furnishing information, from all liability resulting from the furnishing of this information to Children’s Hope Residential Services. I certify that the statements made by me on this form are true, complete and correct to the best of my knowledge and belief and are made in good faith. I understand that any false statements made herein will void my consideration for mentor/volunteer/continued mentoring/volunteering and could result in disciplinary action including my termination.
Should I receive and accept an offer to mentor/volunteer with Children’s Hope Residential Services, Inc. I understand that this authorization will be perpetual for the duration of my mentoring/volunteering.
Authorization(*)
Please check I agree.

* "Texas law gives you the right to know what information is collected about you by means of a form you submit to a state government agency. You can receive and review this information, and request that incorrect information about be corrected by contacting your licensing representative.”

INTERVIEW QUESTIONS

Why are you applying to volunteer with Children's Hope?(*)
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How did you learn about this opportunity?(*)
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Our programs are based on building relationships with our clients. All of the children have suffered trauma. What steps would you take to begin a relationship?(*)
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Confidentiality is a legal requirement (HIPPA) in our agency. What is your definition of confidentiality?(*)
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How would you identify "integrity"?(*)
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Sometimes we are confronted by dishonesty in the workplace. Have you experienced this? Tell me about the situation and how you handled it.(*)
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Clients, co-workers, supervisors are all our customers. What is your definitions of customer service?(*)
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Tell me of a time you had to handle a problem with a customer?(*)
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Communication (verbal & non-verbal) are skills required in this position. Describe what you believe to be important steps in communication.(*)
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What do you do to show people you are listening?(*)
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Captcha(*)
Captcha
Refresh Please enter the numbers in the graphic.

Calendar
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