Board Application

Please complete the Board Application

Please be sure you have completed the Volunteer application and have submitted and have received approved background check.

* Indicates required field

Name *

First

Last

Preferred Name or Nickname *

Email *

Cell Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Degree or Grade *

Describe why you are interested in serving on a Voice of Hope Board. *

Are you interested in a leadership position on a Board *

Yes No

Birth date *

T-Shirt Size *

School Attended or Attending *

Do you have room in your schedule for serving on a Voice of Hope Board? *

Please list additional activities, clubs, sports and groups in which you are iinvolved *

I have completed my Volunteer Application *

Yes No

Parental Consent Form for Teen Board Applicants

I hereby give consent for my child (name of youth volunteer) *

in regard to the above-named volunteer's participation with Voice of Hope and the Teen Board of Voice of Hope. I HEREBY AGREE to release and hold harmless Voice of Hope, The Teen Board of Voice of Hope and its agents, employees and representatives from any and all liability of any kind or nature
whatsoever in connection with any loss, damage, or expense suffered or incurred by the above-named youth volunteer as a result of an act or failure to act, intentional or unintentional, by (I) any person who is not an agent, employee or representative of Voice of Hope, or (11) any other youth leader.

In the event of a medical emergency and efforts to reach the parent or guardian are not successful, I also authorize Voice of Hope, and its adult agents, employees or representatives into whose care the volunteer has been entrusted to consent to any X-RAY examination, anesthetic, medical or surgical
diagnosis or treatment and hospital care to be rendered to volunteer under the general supervision of the Medical Practice Act or to consent to any X_RAY examination, anesthetic, dental or surgical diagnosis to treatment and hospital care to be rendered to the volunteer by a dentist licensed under
the provision of the Dental Practice Act.

I hereby consent to the use of my/my child's name, likeness, and speech in any audio tape, video tape,
film or photograph made in any Voice of Hope and Teen Board of Voice of Hope activity for the business or publicity purposes of Voice of Hope. I understand that any participation offers no remuneration and that my child's name, likeness and speech may be edited, produced, recorded for duplication and distribution throughout the United States and abroad. I express release Voice of Hope, its licenses,
assignee, affiliates and successors from any privacy, defamation, or other claims I may have arising out of broadcast, exhibition, publication, or promotion of this program.

By typing my name below I give my consent as Parent/Legal Guardian *

Date *

Parent Email *

Parent Cell Number *

Preferred hospital in case of emergency *

I agree to receiving marketing and promotional materials

Submit

Please complete the Board Application

Parental Consent Form for Teen Board Applicants

We Would Love to Have You Visit Soon!

4120 Gentry Drive Dallas, Texas 75212

Office Hours

Telephone

Email

Please complete the Board Application

Parental Consent Form for Teen Board Applicants

We Would Love to Have You Visit Soon!​4120 Gentry Drive Dallas, Texas 75212

Office Hours

Telephone

Email

We Would Love to Have You Visit Soon!

4120 Gentry Drive Dallas, Texas 75212