Offer Your Services

We could use your help!

Consider your daily life as if it were a company. How many people act as support staff, either directly or in the background, to keep your lights on? How many different hands hold up the circumstances that enable your success?

What if those hands let go? How long would your lights stay on?

CCPS assists people who often have very little support in their lives. We all need friends. We all need professional assistance in a variety of ways. We all need each other.

If you’re looking to offer your professional or experienced services to those we help relocate, fill the form out at the bottom and let’s help you expand the reach of the good you can do.

Apply to Offer Services

Please complete this form to the best of your ability. All fields marked with * are required. If you’re unsure how to answer a question that’s okay: do the best you can and that will be enough.

If you have any trouble applying or need assistance don’t hesitate to reach out to us through our Contact Page.

Personal Info
Name you use*🪪 what you want participants to call you

Pronouns

About you

Contact Info💬 please provide at least one

Signal is by far our preferred contact method due to its free access (if you have a phone number), high security, and privacy. If you don’t have a phone number to sign up with or otherwise can’t SimpleX is a secure alternative that works on almost all devices.

Email

Email me

Phone

Call meText me

Signal ?

Video call meAudio call meMessage me

Other Contact Methods

Best Monday—Friday Contact Times
👇 Mark any and all that apply:
MorningAround noonAfternoonEveningNightLate night

Best Saturday—Sunday Contact Times
👇 Mark any and all that apply:
MorningAround noonAfternoonEveningNightLate night

Contact Instructions

Services Info

🏅 We need all the help we can get. Professional experience and certification are absolutely not requirements for you to help our clients. If you feel that you can make a difference, you can. Ultimately CCPS determines if and how your experience can best be utilized to help our clients. There are areas in this section to explain as much as you want.

What kind of services are you offering?*

👇 Mark any and all that apply:
💼 I have professional experience in this field.
🎓 I am or have been certified in this field.

I am offering my services to help…
👇 Mark any and all that apply:
CCPSthose relocatingtemporary hostsvolunteersother

I am offering my services…*
👇 Choose one:
for freefor free but could use help with costsfor compensation

More Info

Please elaborate on your experience in the services you’re offering.*

Location🏥 where you’d perform these services
I would perform my services…*
👇 Mark any and all that apply:
from my officefrom my homeat eventsat residencesremotelyother

Your ZIP*

Anything else we should know?

Additional Context
How did you find out about CCPS?
👇 Mark any and all that apply:
Someone told me about it or sent me a linkSocial media postShared in a group chatSearchingOther

Do you want us to reach out to anyone else?

Is there anything else you’d like to offer?
👇 Mark any and all that apply:
I'd like to donate financially.I'd like to temporarily host people relocating.I have goods / items to donate.I'd like to volunteer.Other

Is there anything else you want to share with us?

Data and Security

🔒️ CCPS considers the security of all data involved in our mission to be critical and deserving of the highest attention and effort. As detailed in our Privacy Policy we have strong options and consents centered around the core principle that data shared with us by those we help remains under their control.

🤝 We insist that you take the security of our clients’ data seriously. As part of following-up on this application CCPS will request information on how you secure your operations. We are experienced in cybersecurity and operations security and can provide support if needed or desired.

🛡️ I would like support in securing data.

You must agree to both of the following sections to complete this application.

I agree to exercise the utmost caution in maintaining the security and privacy of the data shared with me by Cascades Community Placement Solutions (CCPS) and by those I provide services for through referral. I agree to notify CCPS as soon as possible if there arises any suspicion that such data has been accessed inappropriately or without authorization. I agree to destroy such data if requested by CCPS or the data’s respective client.

I will not share any portion of data I receive from Cascades Community Placement Services (CCPS) with any other entity or person without the verified consent of CCPS or the data’s respective client.

Acknowledgements and Agreements

Before completing your application you must agree to all of the following by checking every box. If you have questions or concerns regarding any of the listed items please don’t hesitate to reach out to us via our Contact Page.

I understand that Cascades Community Placement Services (CCPS) will make a good faith effort to review my application and follow up as they deem necessary. By submitting this application I agree to the review of my submitted data by CCPS personnel and to being contacted by CCPS at their discretion.

I understand that Cascades Community Placement Services (CCPS) is under no obligation to act on my submission in any capacity. I acknowledge that my submission is made voluntarily and that CCPS has sole discretion as to whether or not my data is used in their operations. I acknowledge that no contract has been established between myself and CCPS, further recognizing that there are no binding agreements between CCPS and myself beyond these agreements I am making in this section of my own free will.

I understand and agree to the terms outlined by Cascades Community Placement Services (CCPS) regarding my data as stated in their Privacy Policy. I acknowledge that CCPS makes no guarantee as to the security and privacy of my data beyond their attempts to protect it. I understand that CCPS accepts absolutely no liability for the consequences of my data being inappropriately accessed from their systems regardless of the means of access or intent behind such access. I understand that I may request my data be amended, redacted, or purged from CCPS by contacting them. I understand that this is a request and not a binding agreement of any kind, and that CCPS will attempt to verify my authorization to modify the data it stores about me before taking any action. I understand that while CCPS has complete autonomy in how my data is accessed and stored, CCPS will attempt to honor all valid requests concerning my data as detailed in their Privacy Policy.

I understand that Cascades Community Placement Services (CCPS) may, after a vetting process prompted by my submission of this form, proceed with establishing consent from me and parties it believes could benefit from my services. I understand that if I choose to engage with such parties I do so as my own agent. I agree that CCPS is in no way responsible for how I conduct my interactions with parties I am connected with through CCPS, including but not limited to proper adherence to applicable laws and regulations concerning my services. I agree that CCPS accepts absolutely no liability regarding my involvement with other parties at any time or in any capacity.

💌 I would like to hear from CCPS about general updates and needs.

📫 Upon submitting this form CCPS will review your application and, if deemed appropriate, attempt to open communication with you through one or several of your provided contact methods. We reach out as soon as we are able (typically within a few days). If you are concerned that your submission didn’t go through or was missed you may always reach out via our Contact Page.