Becoming an Interfaith Volunteer. Why should I become a volunteer? Who can volunteer? How do I become a volunteer?
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1 Becoming an Interfaith Volunteer Why should I become a volunteer? Interfaith is a faith-based organization that brings people together to build a more loving and caring community through service. By becoming a volunteer with Interfaith of The Woodlands, you are joining a team of people committed to responding to the needs of the community. Who can volunteer? Applicants must be at least 16 years old Applicants must not have a criminal history Applicants must work well with others and in the spirit with which Interfaith assists the community How do I become a volunteer? All potential volunteers are asked to attend one of our regularly scheduled volunteer orientations. Upcoming orientation dates can be found on our website: Once you have attended an orientation and completed the necessary paperwork, your application will be processed and your information will be screened and added to our volunteer database, which can take 3-4 business days. You will be contacted by Holly Mayer, Volunteer Coordinator, once the process is complete and you are eligible to begin volunteering. If you have any questions about this application, please do not hesitate to call Interfaith at (281) or Holly at hmayer@woodlandsinterfaith.org.
2 INDIVIDUAL VOLUNTEER APPLICATION Revised 6/1/2015 Today s Date: Name, including maiden and others used: Orientation Date: Date of Birth (Month, Day & Year): Street Address with Apartment Number: City, State and Zip Code: Primary Phone Number: Secondary Phone Number: Address: Sex: Male Female Do you have any life-threatening allergies or health concerns which may impact your ability to perform your volunteer role? Yes/No If yes, please describe: How did you hear about Interfaith of The Woodlands? EMERGENCY CONTACT: Name: Relationship: Primary Phone Number: Secondary Phone Number: Alternate Phone Number: Address:
3 Skills and Experience: LANGUAGES: English Spanish Sign Other Please list below any occupations or volunteer positions you have held: Organization/Employer Position/Responsibilities? Active or Inactive/Retired? Eligible for re-hire? (Yes or No) References: Name: Relationship: Phone Number: Please list any special skills, talents, hobbies or interests: Criminal History Have you ever been arrested or convicted of any criminal offense? Yes No If answer to above question is yes, please explain:
4 Please check the volunteer opportunities that you are interested in: FAMILY SERVICES Family Service GIVING Holiday Program - December Food Pantry - Weekdays Hand Me Up Shop (Resale Store) - Weekdays & Saturday Veggie Village Tuesday & Saturday Harvest, special events SENIOR SERVICES Caregiver s Conference Special Event Saturdays Spring & Fall Senior Grocery Delivery - Once monthly weekday Senior Activities assist with crafts, games, etc. Senior GIVING Holiday Program - December Driver for Senior Transportation Program (Must be 21) SOS Serving Our Seniors - Special Event Saturdays Spring & Fall OTHER VOLUNTEER OPPORTUNITIES Insperity Golf Tournament Weekdays & Weekend - April Ironman Triathlon Weekdays & Weekend - May Le Tour de Woodlands Bike Race Saturday October Office Support during Special Event/Holiday Appointments Translator & Office Support during Special Event/Holiday Appointments Woodlands Marathon Saturday - March
5 MEDIA CONSENT I consent to be photographed and/or videotaped by Interfaith of The Woodlands. I further consent to the use of those photographs or videotapes in promotion of Interfaith of The Woodlands, including but not limited to their use in promotional literature and their release to print media, television, or other electronic media. This consent remains effective until cancelled in writing. Printed Name: Signature: Signature of Parent or Legal Guardian: Phone Number: Date: Date: (if applicant is under 18 years of age) VOLUNTEER STATEMENT OF CONFIDENTIALITY I, _, do hereby agree to keep confidential the identity and all information pertaining to any clients that I observe in any way while volunteering at Interfaith. Volunteer Signature Interfaith Representative
6 CONSENT FOR CRIMINAL BACKGROUND HISTORY CHECK AUTHORIZATION/WAIVER/INDEMNITY I hereby give my permission for INTERFAITH OF THE WOODLANDS to obtain information relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to determine my eligibility for an employment/volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification if I dispute the record as received. I, the undersigned, do, for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify The Woodlands Religious Community, Inc. and their officers, directors, employees, and agents harmless from and against any and all causes of actions, suits, liabilities, costs, debts and sums of money, claims and demands whatsoever, and any and all related attorneys fees, court costs, and other expenses resulting from the investigation of my background in connection with my application to become a volunteer/staff member. APPLICANT S SIGNATURE DATE PLEASE PRINT NAME (PLEASE LIST MAIDEN NAME OR ANY OTHER NAME USED) BIRTHDAY ETHNICITY GENDER (M OR F)
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