CONTACT INFORMATION
Name *
Name
Phone *
Phone
Mailing Address *
Mailing Address
EMERGENCY CONTACT INFORMATION
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
BACKGROUND, EDUCATION, TRAINING
Date of Birth *
Date of Birth
Please list "Not Applicable" if unemployed
AVAILABILITY
Please select all that apply *
BACKGROUND CHECK DISCLOSURE & CONSENT
Have you ever been charged with and/or convicted of, plead guilty to, no contest to or entered an Alford plea to a misdemeanor, felony or any criminal offense, including - but not limited to - offenses related to violence, abuse or neglect of a child or adult, theft, dishonesty and/or financial misconduct? (A “yes” response does not necessarily disqualify you for consideration.)
VOLUNTEER INTEREST INDICATION
Please select any volunteer roles you may be interested in pursuing: *
General Availability: E (Evening), F (Flexible), WD (Weekday), WE (Weekend)
VOLUNTEER CONSENT & AGREEMENTS
1. Volunteers will maintain high standards of conduct reflecting a professional approach and positive attitude, shown by caring, cooperation, honesty and respect for others. 2. Volunteers will not exploit volunteer relationships for personal gain. 3. Volunteers will strive at all times to demonstrate behavior that serves as a positive, motivating example for our clients. 4. Volunteers are expected to conduct themselves in demeanor, appearance and lifestyle as mature role models for our clients. 5. Corporal punishment or abusive treatment (physical, emotional or sexual) will not be tolerated. 6. Volunteers will report any need for discipline or management of clients to staff immediately and avoid physical management of clients. 7. Boys & Girls Haven is a smoke-free campus. In the spirit of genuine concern for everyone’s health and future life, especially our residents, volunteers will show good example and positive guidance to our residents regarding the value of not smoking. By clicking "I agree" below, you agree to the following: I have read and understand the Volunteer Code of Ethics for Boys & Girls Haven. I agree to comply with these standards.
By clicking "I agree" below, you agree to the following: I hereby pledge that I shall safeguard and trust as CONFIDENTIAL any and all information (whether acquired through verbal communication, written record, or observation) regarding any resident, alumni, relative of a resident, staff member, or volunteer of Boys & Girls Haven, which I may, through my affiliation with Boys & Girls Haven, so acquire.
By clicking "I agree" below, you agree to the following: I attest to the truthfulness of all information listed on this application. I agree to allow Boys & Girls Haven to confirm all information listed and to conduct federal and state criminal record and Child Abuse or Neglect (CAN) Central Registry checks. I also agree to complete additional requirements as needed for my volunteer role(s) including but not limited to, TB test, orientation, training, etc. as needed.