Thank you for your interest in volunteering with the Frederick Rescue Mission. Please use the form below to apply or download our pdf application.

Transcription

1 Thank you for your interest in volunteering with the Frederick Rescue Mission. Please use the form below to apply or download our pdf application. First Name Last Name Birth Date Street Address City State Zip Code Cell Phone Best way to contact you?

2 Why are you interested in volunteering? Personal Interest Affiliation (i.e. church, business, community service) Other If other, please specify: Have you ever volunteered with the Frederick Rescue Mission, Inc. in the past? (Please circle) Yes No If yes, when? Have you ever received services from the Frederick Rescue Mission (eat meals, get food boxes, receive vouchers)? (Please circle) Yes No What is your educational background? Please list your last two employers, starting with the most recent. Employer 1 Job Title 1 Dates Employed: From

3 To Responsibilities Reason for Leaving Employer 2 Job Title 2 Dates Employed: From To Responsibilities Reason for Leaving

4 Do you have previous volunteer experience, and if so, with what organizations and what kind of volunteer duties did you have? Does your current employer have: (Please check all that apply) Programs for Volunteering? A Donation Matching Program? Grant preference to organizations where you volunteer? How did you hear about the Frederick Rescue Mission? (Please check all that apply) Website Social Media College/University Current Volunteer Other If other, please specify: Please describe in 3-5 sentences why you want to be a volunteer with the Mission.

5 What type of volunteer opportunity are you interested in? (Please check all that apply) Kitchen Server Grocery Aisle Cafeteria Monitor Meal Prep Driver Driver Assistant Maintenance/Cleaning Leading Bible Study Preaching in Chapel Leading Worship in Chapel Information Technology Teaching Life Skills Computer Class Tutoring Mentoring Teaching Recovery Class Offer Professional Service Overnight Security Fundraising Public Relations Special Events Help Help with Mailings Receptionist/Front Office

6 Board of Directors Other If other, please specify: If marked "Board of Directors" above, please answer: Have you ever served on a Board of Directors? (Please circle) Yes No If yes, what organization and dates? How often are you interested in volunteering? (Please circle) One Time Weekly Monthly How long can you commit to volunteering? What days are you available to volunteer? (Please circle all that apply) Mondays Tuesdays Wednesdays

7 Thursdays Fridays Saturdays Sundays What times are you available? Do you prefer to work: (Please circle all that apply) Directly with people served? Behind the Scenes? No Preference? Other languages you speak: Language 1 Please circle skill level: Basic Conversational Fluent Language 2 Please circle skill level: Basic Conversational Fluent

8 Do you have any special needs or restrictions of which we should be aware? In Case of Emergency, we should contact: Name Relationship Phone All volunteer positions require a Criminal History check. Conviction will not necessarily disqualify you from participating. Have you ever been convicted of a felony? (Please circle) Yes No If yes, please explain and give dates: Additional Comments

9 1. I certify that the facts set for in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the volunteer program. 2. I consent to having FRM complete a criminal background check prior to volunteering. 3. All volunteers will be subject to a background check. The Mission does not accept volunteers with the following: - Alcohol and/or drug convictions within the past three years - Violent convictions - Sex offenses. While some volunteers may be of a different world religion or no religion, it is expected that they do not do anything to undermine the teachings and ministry of the Frederick Rescue Mission, Inc. This includes proselytizing clients to their religion as well as distribution of literature or other information. For All Applicants, please read the following and indicate that you have done so: I authorize the Frederick Rescue Mission to verify information provided on this application. I understand that misrepresentation or omission of facts requested is case for non-placement as a volunteer. If placed as a volunteer, I agree to support the Frederick Rescue Mission, Inc. and its core values, and to fulfill the volunteer responsibilities to the best of my ability. Signature If under 18, Signature of Legal Guardian: Date