Individual Interest Form

Thank you for your interest in serving at Healing House. We rely on the gifts and passion of our committed volunteers. It takes an entire community to help end the cycle of addiction, both individually and generationally. At Healing House, we create individualized care for each participant, and the variety of ways volunteers serve contribute to our efforts. Your presence makes a difference in the lives of those we serve.  

Whatever your skillset or interest is — there is a place for you to serve at Healing House!


Email Address

Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Healing House Inc will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Street Address *
Street Address #2
City
State *
Zip Code *
How did you hear about us? *
Why do you want to volunteer at Healing House? *
Days and time available *
Please List Your Interests











Anything else we should know? *
Terms and conditions
Do you agree to the terms and conditions? *
Do you have any criminal history?
Please explain

Terms & Conditions


Who is this registration for?

We are thrilled that you have chosen to volunteer with Healing House. Volunteers are a vital part of achieving our goal to make Healing House a more equipped community. There are many opportunities for you to help our growing ministry. Since our humble beginnings, we’ve seen many milestones, and our volunteers have played a significant role by contributing time, skills, money and passion toward advancing our goals.

MISSION: The mission of the volunteer team is to support the staff and program participants of Healing House, helping to enrich each person’s life and spiritual well-being–including our own– by giving our time, skills, and resources.

VISION: Volunteers are engaged, energized and fulfilled members of the Healing House family as they offer their support, skills, and time in service to our community.

SCOPE: Healing House expects all volunteers to review and sign the provisions of this agreement.

DEFINITIONS: As used in this agreement, bolded terms not otherwise defined will have the following meanings:

Best practices: procedures adopted by the Healing House executive team as guidelines for interacting with Participants. Best practices include the Code of Conduct setting forth expectations of volunteers interacting with Participants.

Certification: completion of the additional inquiries for Direct Service Volunteers and Professional Volunteers which include but may not be limited to 6 hours of ethics training. And to be renewed periodically as determined by the volunteer coordinator.

Direct contact: the care, supervision, counseling, transportation, or control of Participants that is expected to occur on a regular or ongoing basis.

Participant: a person currently or previously in a Healing House program, including people who use facilities or receive services from Healing House.

Volunteer: an unpaid person formally recognized by the agency to provide services

Direct Service Volunteer: a volunteer who has unsupervised direct contact with participants

Professional Volunteer: a volunteer who uses their license, registration, or certification as required by profession to provide a service.

Minor Volunteer: a volunteer under the age of 18.

◾VOLUNTEER REQUIREMENTS
The minimum age for serving in construction, as a Direct Service Volunteer or Professional Volunteer is 18. The minimum age for other volunteer positions is 12.
A Minor Volunteer must have written permission by a parent or legal guardian or be accompanied by one.
All volunteers are to complete an application, including applicant’s (A) acknowledgement of their review and acceptance of this agreement, including the Code of Conduct, and (B) consent to any criminal or other background review required by law or this agreement.

Direct Service Volunteers and Professional Volunteers will have additional inquiries required by the DMH. These include, but may not be limited to (A) an inquiry of the Missouri Department of Social Services (DSS) and the Missouri Department of Health and Senior Services (DHSS) to determine whether the person is on a disqualification list; (B) an inquiry of the Missouri Department of Mental Health (DMH) to determine if the person is on its disqualification registry; (C) a criminal background check; and (D) 6 hours of ethics training. Healing House will cover the cost of Certification, including all background checks.

Direct Service Volunteers and Professional Volunteers need to maintain licenses and ethical training requirements, and stay in good standing with all agencies required for the person to provide their services sponsored by Healing House. Participate in any online or in-person orientation and training provided by Healing House relevant to the volunteer’s assignments.

Comply with additional Best Practices adopted from time to time.
Violations of this agreement, including the Code of Conduct, or other exploitation, harassment, intimidation or abuse of a Participant committed by a volunteer should be reported to the volunteer coordinator.
Sign a confidentiality agreement if the volunteer will have access to confidential personal information of others or confidential or proprietary information of Healing House.
Sign a waiver of liability if requested.

◾ CODE OF CONDUCT
○Honor Confidentiality
○Respect the Volunteer Mission and Vision Statements
○Deal with conflicts in an appropriate manner
○Respect the property of Healing House, Participants and others
○Do not accept valuable gifts or money from Participants
○Offer constructive criticism about our organization in an appropriate manner
○Follow through on commitments and notify volunteer coordinator if you will be absent
○Treat staff, Participants, other volunteers and community members without discrimination
○Dress appropriately, physical work requires adequate clothing
○Smoking is allowed only in designated areas
○No fraternizing or inappropriate conversations

VOLUNTEER NON-DISCLOSURE AGREEMENT
This Volunteer Non-Disclosure agreement (the “Agreement”) is made between Healing House and the Volunteer; and is effective at the date of signing. Volunteer is performing services for the Company without promise, expectation or receipt of compensation for services rendered, and in the process may be exposed to Confidential Information (as defined below). The Agreement is intended to prevent the unauthorized disclosure of Confidential Information.
1. Confidential Information
“Confidential Information” is proprietary information relating to Company’s business including but not limited to: business and financial records, customer lists, intellectual property, proprietary data, security measures, new products or services, forecasts or any other proprietary business information that, if disclosed, could affect the business of Company. See Addendum A for additional details.
2. Non-Disclosure
Without Company’s prior written consent, Volunteer will not: (a) disclose Confidential Information to any third party; (b) make or permit to be made copies or other reproductions of Confidential Information; or (c) make any commercial use of Confidential Information.
3. Return of Confidential Materials
Upon Company’s request, Volunteer shall immediately return all original materials provided by Company and any copies, notes or other documents in Volunteer’s possession pertaining to Confidential Information.
4. Term
This Agreement and Volunteer’s duty to hold Confidential Information in confidence shall remain in effect until whichever of the following occurs first: (a) Company sends Volunteer written notice releasing it from this Agreement, or (b) Confidential Information disclosed under this Agreement ceases to be confidential.
5. Notice of Immunity from Liability
An individual shall not be held criminally or civilly liable under any federal or state trade secret law for the disclosure of a trade secret that is made (i) in confidence to a federal, state, or local government official, either directly or indirectly, or to an attorney; and (ii) solely for the purpose of reporting or investigating a suspected violation of law; or is made in a complaint or other document filed in a lawsuit or other proceeding, if such filing is made under seal. An individual who files a lawsuit for retaliation by an employer for reporting a suspected violation of law may disclose the trade secret to the attorney of the individual and use the trade secret information in the court proceeding, if the individual (i) files any document containing the trade secret under seal; and (ii) does not disclose the trade secret, except pursuant to court order.
6. General Provisions
(a) Severability. If a court finds any provision of this Agreement invalid or unenforceable, the remainder of this Agreement shall be interpreted so as best to effect the intent of the parties.
(b) Integration. This Agreement expresses the complete understanding of the parties with respect to the subject matter and supersedes all prior proposals, agreements, representations and understandings. This Agreement may not be amended except in a writing signed by both parties.
(c) Waiver. The failure to exercise any right provided in this Agreement shall not be a waiver of prior or subsequent rights.