Volunteer Houston Recognition Award

Volunteer Houston recognizes individuals whose service, commitment, and compassion help strengthen communities across Greater Houston. Please complete the application below for review and verification.

Step 1 of 5

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Eligibility Confirmation

Continue with Application?(Required)

Before continuing, please confirm that you are completing this application because you meet the required volunteer service hours for the Volunteer Houston Recognition Award and have documentation to verify your hours. Proof of service will be required for review and approval.

Yes, I would like to continue with the application.

You may not be eligible to continue at this time.

If you have questions about eligibility or need help locating your volunteer service records, please contact Volunteer Houston at info@volunteerhouston.org or 713-533-3190.

Name of Recognition Applicant

Name(Required)

First Last

Enter name as it should appear on the award.

Middle Name

Middle Suffix

Birth Date

Must include month, day, and year.

Date(Required)

MM slash DD slash YYYY

Personal Information

Preferred contact number.

Phone(Required)

Preferred contact number.

Email Address*(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Age Range(Required)

Select the age group you were in when you completed your volunteer service hours.

Kids: Ages 5–10

Teens: Ages 11–15

Young Adults: Ages 16–25

Adults: Ages 26–50

Older Adults: Ages 51+

Award Levels

Bronze, Silver, or Gold

Which award level are you applying for?(Required)

Bronze

Silver

Gold

Volunteer Service Date Range

Volunteer Service Start Date(Required)

MM slash DD slash YYYY

Volunteer Service End Date(Required)

MM slash DD slash YYYY

How many hours are recorded in your document?(Required)

You are required to upload volunteer service records. Volunteer Houston portal resumes will suffice. Records must include the dates of service, name of the organization, number of hours, and approval signature.

Volunteer Service Record

Volunteer service records are required to verify award eligibility.

Do you have your volunteer service record ready to upload?(Required)

Yes

Upload Volunteer Service Record(Required)

Upload your Volunteer Houston portal resume or another volunteer service record. Records must include dates of service, organization name, number of hours, and approval signature.

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 32 MB.

Upload Volunteer Service Record(Required)

Upload your Volunteer Houston portal resume or another volunteer service record. Records must include dates of service, organization name, number of hours, and approval signature.

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 32 MB.

Approval Process

Is the applicant under the age of 18?(Required)

Yes

Parent/Guardian Information

Name(Required)

First Last

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Publicity Release for Minor and Adult

In return for being allowed to participate in Volunteer Houston ("VH"), a program of IM Houston ("IM"), volunteer activities and all related activities, including any activities incidental to such participation ("Volunteer Activities"), the undersigned Volunteer or Parent/Legal Guardian of Volunteer, if Volunteer is under age 18, hereby grants to IM Houston, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities' officers, directors, agents, employees, respective successors and assigns, collectively "Authorized Parties," the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer's name, voice, photograph and/or likeness and caricature, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including, by way of example but without limitation, advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised, including without limitation on the Internet, without additional compensation.

I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative, or other copy thereof by anyone other than the Authorized Parties. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state of Texas and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.

I am of legal age or the parent/legal guardian of the Volunteer if the Volunteer is under age 18, and I am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.

Parent/Guardian Publicity Release Acknowledgment(Required)

I confirm that I am the applicant's parent or legal guardian and have read and agree to the publicity release terms.

Publicity Release Form

Publicity Release Acknowledgment

By checking this box, I grant Volunteer Houston, a program of IM Houston, permission to use my name, photo, video, voice, likeness, and related media from volunteer activities for promotional, educational, informational, and communication purposes, including print, website, email, video, and social media.

I understand these materials may be used without additional compensation and may be edited, published, or shared by Volunteer Houston and/or IM Houston. I confirm that I am at least 18 years old and that I have read and understand this acknowledgment.

Publicity Release Acknowledgment(Required)

I have read and agree to the publicity release terms.

Next Steps

Before You Submit

Submitting this application does not guarantee approval. Volunteer Houston will review the information provided and may request additional documentation or clarification before a final decision is made.

To complete the review process, applicants must provide accurate information and required documentation, including proof of eligible volunteer hours when requested. Applications with missing, incomplete, inaccurate, or unverifiable information may be delayed or denied.

Please review your application carefully before submitting. By submitting this form, you confirm that the information provided is true and complete to the best of your knowledge.

Volunteer Houston Team
713-533-3190 | info@volunteerhouston.org

Applicant Acknowledgment(Required)

I understand that submitting this application does not guarantee approval. I also understand that if I do not provide the required information, documentation, or proof of volunteer hours, my application may be delayed or denied.

CAPTCHA

Volunteer Houston Recognition Award

Eligibility Confirmation

Name of Recognition Applicant

Birth Date

Personal Information

Award Levels

Volunteer Service Date Range

Volunteer Service Record

Approval Process

Parent/Guardian Information

Publicity Release for Minor and Adult

Publicity Release Form

Next Steps

Volunteer Houston a program of IM Houston

3303 Main Street, Houston, TX 77002 | 713-533-3190 | info@volunteerhouston.org

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