Onboarding Form - Amanda Hope

Select Your Onboarding Form

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Please complete the form below

Warrior & Family Onboarding

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Parent/Caregiver name *

First

Last

Ethnicity *

Race/ethnicity that best describes the child

Gender *

Spoken Language *

Birthday *

Phone *

Email *

Make sure to use the same email you logged in with. If you are unsure, please check your Profile.

Language 2 Second

How did you hear about us? *

Parent/Caregiver Address *

Address Line 1

Address Line 2

City

State

Zip Code

Need Second Parent or caregiver info?

Second Parent or caregiver info

Second Parent/Caregiver name *

First

Last

Second Caregiver/Parent Ethnicity *

Race/ethnicity that best describes the child

Second Parent/Caregiver Gender *

Second Parent/Caregiver Spoken Language *

Second Parent/Caregiver Birthday *

Second Parent/Caregiver Phone *

Second Parent/Caregiver Email *

Warrior Info

Warrior name

First

Last

Warrior Birthday

Will you be requesting a Comfycozy?

Child Shirt Size

Are you working with a Child's Child Life Specialist or Social Worker? *

Social Worker or Specialist Name *

First

Last

Social Worker or Specialist Phone *

Social Worker or Specialist Email *

Referral Code

If you have one.

Siblings

Selected Value: 0

Number of Siblings

Sibling 1 Name

First

Last

Sibling 1 Birthday

Sibling 1 Ethnicity

Race/ethnicity that best describes the child

Sibling 1 Spoken Language

Second Sibling

Sibling 2 Name

First

Last

Sibling 2 Birthday

Sibling 2 Ethnicity

Race/ethnicity that best describes the child

Sibling 2 Spoken Language

Third Sibling

Sibling 3 Name

First

Last

Sibling 3 Birthday

Sibling 3 Ethnicity

Race/ethnicity that best describes the child

Sibling 3 Spoken Language

Fourth Sibling

Sibling 4 Name

First

Last

Sibling 4 Birthday

Sibling 4 Ethnicity

Race/ethnicity that best describes the child

Sibling 4 Spoken Language

Fifth Sibling

Sibling 5 Name

First

Last

Sibling 5 Birthday

Sibling 5 Ethnicity

Race/ethnicity that best describes the child

Sibling 5 Spoken Language

SMS Confirmation *

By confirming yes, I give permission to be contacted about Amanda Hope Rainbow Angels by SMS text at my residential or cellular number, dialed manually or by autodialer (consent to be contacted is not a condition to participate). I consent to be contacted even if my phone number appears on an Amanda Hope Rainbow Angels Do Not Call List, a State or National Do Not Call Registry, or any other Do Not Contact List.

Email Confirmation *

By confirming yes, I give permission to be contacted about Amanda Hope Rainbow Angels by email at my provided email address (consent to be contacted is not a condition to participate). I consent to be contacted even if my email address appears on an Amanda Hope Rainbow Angels Do Not Email List or any other Do Not Contact List.

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Email *

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Name *

First

Last

Birthdate

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Info

Emergency Contact Name *

First

Last

Emergency Contact Phone

Emergency Contact's Relationship to Applicant *

Do you give us permission to transport you to the nearest medical facility should you incur serious illness or injury during volunteer hours? *

Please choose the program/organization that best matches how you heard about us. *

SWIHA
College/University
UofA CHIP
Other

Volunteer Are incur

How did you hear about our volunteer program?

Are you currently employed?

Employer Name?

Some companies will donate to Amanda Hope because you volunteer! They donation will be made based on the time you give to our organization.

Are you looking for a consistent volunteer opportunity?

Yes, weekly
Yes, monthly
No

Do you have required hours for an institution?

what is the institution and what are the requirements?

SMS Opt-In

By checking the box, I give permission to be contacted about Amanda Hope Rainbow Angels by SMS text at my residential or cellular number, dialed manually or by autodialer (consent to be contacted is not a condition to participate). I consent to be contacted even if my phone number appears on an Amanda Hope Rainbow Angels Do Not Call List, a State or National Do Not Call Registry, or any other Do Not Contact List.

Media Consent

By checking this box, I hereby give my permission for Amanda Hope Rainbow Angels and/or its representatives to use artwork, photographs and/or letters that I provide of myself in publications, slides, videotapes, motion pictures or on the Internet. In addition, I hereby give my permission for Amanda Hope Rainbow Angels and/or its representatives to photograph, audio tape record, or videotape myself and to use my name, these images or voice recordings in publications, slides, videotapes, motion pictures or on the internet. I understand these visual images or voice recordings may be used to inform families, volunteers, donors, the media and general public about Amanda Hope Rainbow Angels programs, services or events. I gladly give this authorization to support the efforts of Amanda Hope Rainbow Angels. I understand this authorization shall continue until terminated in writing. Providing consent form is not a requirement in order to join the Amanda Hope Rainbow Angels volunteer program.

COVID Waiver

By checking this box, I agree to comply with the written instructions below. I, wishing to receive services from Amanda Hope Rainbow Angels or participate in Amanda Hope Rainbow Angels events/programming, hereby acknowledge that it is doing everything it can to protect the public as well myself and my family members in attendance. To this extent, I agree to follow Center of Disease Control (CDC) and local health district guidelines and Amanda Hope Rainbow Angels’ policies and procedures for social distancing to reduce the spread of Novel Coronavirus, or COVID-19. I agree to wash or sanitize my hands after using the restroom, sneezing, coughing, and/or before handling food for distribution. Amanda Hope Rainbow Angels is not responsible for any potential exposure to Novel Coronavirus, or COVID-19, which is not a direct result of gross negligence on the part of its employees, volunteers, or the organization. Failure to comply with these written instructions or verbal instructions from staff may result in my family losing privileges to receive services and/or participate in events/programs and I may be asked to leave the premises.

Volunteer Certification

By checking this box, I certify that all information submitted by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and active status may be terminated at any time. In consideration of my Volunteer Program application, I agree to adhere to the policies and regulations of Amanda Hope Rainbow Angels, and I agree that my volunteer status can be terminated, with or without cause, and with or without notice, at any time by Amanda Hope Rainbow Angels.

Amanda Hope Rainbow Angels is dedicated to a policy of non-discrimination on any basis including race, color, religion, sex, national origin, sexual orientation, age, disability, status as a Vietnam-era or special disabled veteran, or any other legally protected status. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process. Participation in some aspects of the Amanda Hope Rainbow Angels Volunteer Program may be contingent upon the successful completion of specific Hospital Training Programs, screening requirements as determined by participating hospitals, and the continued adherence to the policies of the Amanda Hope Rainbow Angels Volunteer Program as outlined in the Manual of Procedures. Submission of this application does not guarantee admission into the program.

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Name *

First

Last

Email *

Phone

Which semester are you looking to intern?

Spring
Summer
Fall

to many Email

Which Internship are you interested in?

Event Planning
Hospital Relations
Donor Development
Marketing

How many hours a week are you looking to intern?

How did you hear about us?

Additional Comments

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Name *

First

Last

Email *

Company Name

did Company hear

Website

Message

How did you hear about us?