Volunteer Application Information
Emergency Contact Information
I, the undersigned applicant, grant permission for Gateway Homeless Coalition, Inc. to receive my criminal information regarding any criminal charges, past, and / or pending.
If yes, please answer the following:
CONFIDENTIALITY AGREEMENT
I, the undersigned applicant, promise to keep confidential all information regarding residents of Gateway Homeless
Coalition, Inc. I further agree not to disclose any information ab out shelter business and activities. Any and all
unauthorized review, use and disclosure or distribution of confidential information is prohibited. Gateway Homeless
Coalition, Inc. prohibits discrimination on the basis of race, color, religion, sex, national origin, sexual orientation or
gender identity, ancestry, age, disability or veteran status.