Volunteer Health Questionnaire / Policy Form

As a volunteer for the Hope Center in Lexington, KY, I hereby acknowledge that said organization is doing everything they can to protect the public as well myself as a volunteer from COVID-19. To this extent, I agree to follow Center of Disease Control (CDC) and local health department guidelines, along with the Hope Center’s policies and procedures for social distancing to reduce the spread of COVID-19. This will require me to maintain six (6) feet of distance between myself, fellow volunteers, and Hope Center clients as much as possible. In addition, I agree to wear a cloth or surgical mask or a face shield to reduce the risk of exposure to myself and others while inside any Hope Center facilities. I agree to wash or sanitize my hands after using the restroom, sneezing, coughing, and before eating or preparing/serving meals, and will properly wear and utilize sterile gloves. I will leave the Hope Center facilities if I begin to feel ill or experience COVID-19 symptoms, including cough, fever, or shortness of breath. I understand that I am volunteering in a higher-risk, residential setting, in which the COVID-19 virus can spread quickly. I agree to take all necessary precautions and adhere to Hope Center policies, and I understand that Hope Center staff members may ask volunteers to leave at any time, if they feel that the safety of clients and staff is at risk.

Volunteer Health Questionnaire / Policy Form
Do you agree to the Hope Center’s health and safety COVID-19 policy? *
Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature that is elevated for you/100.0F or greater? *
Do you have any of the following symptoms? *
Have you traveled internationally or outside of the state in the last 14 days? Have you had any close contact in the last 14 days with someone with a diagnosis of COVID-19, or you yourself been diagnosed with COVID-19 and not yet cleared as noncontagious by state or local public health authorities? *
Which area would you like to volunteer for? *
Please select today's date
Confirmation *

Thank you for serving at the Hope Center. If you have any questions or concerns regarding our COVID-19 volunteer policy, please call our Volunteer Manager at 859-721-0144.

Get Help

Emergency Shelter

360 W. Loudon Ave. Lexington, KY 40508

859-252-7881

Hyde Hope Health Clinic: 859-225-5035

(For Recovery Program intake, call the Emergency Shelter and ask for Intake)

Reach Us

Men's Recovery Intake Number

859-252-7881

Women's Recovery Intake Number

859-252-2002

Donations & volunteers

859-721-0144

The Hope Center is a 501c3 non-profit.
For all donations or volunteer assistance contact the Development Department at 859-721-0144.

For Men’s Emergency Shelter and Recovery Program questions and intake call 859-252-7881.
For Women’s Recovery Program intake call 859-252-2002.

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