1. Volunteer Application The Harmony of Hope Foundation, Inc. helps children suffering from Alopecia, Cancer, Chemo treatment and other serious illnesses or diseases causing hair loss by providing them with a wig care kit, free of charge. We pride ourselves in helping each child discover their beauty and to boost their self-esteem so that each one may become an active member of society. The Harmony of Hope Foundation, Inc. encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you. Thank you for your interest in our organization. Name: ________________________________________________________________ Address: ______________________________________________________________ City: ___________________________________ ST ________ Zip________________ Phone: _____________________ Email _____________________________________ Employer ____________________________________ Position __________________ Any special talents or skills you have that you feel would benefit Harmony for Hope Foundation, Inc.? _______________________________________________________ _____________________________________________________________________ Please indicate days available: __Mon __Tues __Wed __Thur __Fri __Sat Times available: From _____________ to _______________ Any physical limitations? __________________________________________________ In case of emergency contact: _____________________________________________ Please select your area of Interest: __Counseling __Cosmetology (Hair, Make-Up, Nails, etc) __Community Development/PR __CPA/Financial Advising __Event Planning __Fundraising __Mentoring __Packaging/Delivery __Website Manager __Other________________________ Last Updated: 3/25/2014 by M. Caldwell, Owner

2. As a volunteer of Harmony of Hope Foundation, Inc., I agree to abide by the policies and procedures of the organization. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. Signature_____________________________________ Date___________________ *Please fax or email your completed volunteer form to: Email: HarmonyofHope@yahoo.com or Fax: (937) 885-4812 Last Updated: 3/25/2014 by M. Caldwell, Owner