WCCAC Volunteer Application

WCCAC Volunteer Application

2020 WCCAC Volunteer Application
Contact Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
**WCCAC Volunteers must be 18 to volunteer on a regular basis
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Occupation: *
How did you hear about Williamson County Children's Advocacy Center?*
Emergency Contact Information
Emergency Contact's Name*

First NameLast Name
Emergency Contact's Phone Number*

Area CodePhone Number
Relationship to Emergency Contact*

Availability:

Please note that our normal day to day volunteer opportunities fall during our operating hours : Monday - Friday 9 AM - 5 PM.
Please Indicate what days you would be interested and available to volunteer:*

MondayTuesdayWednesdayThursdayFridayWeekendsOther
Are you bilingual?*

YesNo
Please list any other skills & experience that you have:*

Volunteer Agreement and Understanding

I have accurately completed this application. I understand that the information I have provided will be used to assign me to tasks best suited for my abilities and experience. I also understand that this application is not a contract between the WCCAC and me, and either the WCCAC or I can terminate my volunteer services at any time.

I understand that I must provide three references to the WCCAC. I give the WCCAC permission to contact my references to obtain information regarding my suitability to work with children and families.

I agree to attend the required orientation and/or training necessary for being a volunteer at Williamson County Children’s Advocacy Center. I understand that a criminal history check from the Texas Department of Public Safety and a Texas Department of Family and Protective Services Central Registry of Child Abuse and Neglect check will be completed. This is done to ensure that volunteers have not been convicted of an offense that would be potentially detrimental to the WCCAC.

I further understand that the inclusion of any false information or the omission of any requested information may be cause for my immediate dismissal from volunteer placement at the WCCAC.

I agree to immediately inform the Williamson County Children's Advocacy Center if this information changes any time during my involvement with the Center.
Signature*

Clear
Date of signature*

MonthDayYear
Date

Williamson County Children’s Advocacy Center
Volunteer Code of Ethics

1. Volunteers providing client services shall maintain the client’s interest as their primary responsibility and will maintain the highest personal and professional standards.

2. Volunteers will portray a positive role model by maintaining an attitude of respect, loyalty, patience, integrity, courtesy, tact, and maturity.

3. Volunteers should respect the privacy of clients and maintain confidentiality at all times regarding information obtained while providing services. Volunteers will not reveal a name or any other identifying information about any client or a case to the outside public.

4. Client confidentiality must be maintained throughout the workplace. Client information will not be discussed in the front office or in the hallway of any general work area.

5. Volunteers may not discriminate against clients or staff on the basis of gender, race, age, ethnicity, religion, marital status, disability, sexual orientation, political affiliation or source of income.

6. Volunteers shall avoid dual relationships with clients, unless pre-approved by the WCCAC. Volunteers shall not conduct any relationship with the client other than that assigned by WCCAC.

7. Volunteers will clearly distinguish between their personal views and the official positions adopted by WCCAC when communicating public statements to others.

8. Volunteers will report any conflict of interest to appropriate agency authority that may prevent them from providing competent services to a client, or be impartial in the treatment of any client.

9. Volunteers shall not use drugs, alcohol, or profanity while volunteering for WCCAC. Tobacco can be used outside, in the rear of the building.

10. Texas State Law requires that all citizens report any suspected abuse or neglect of a child to the Texas Department of Protective and Regulatory Services via their statewide 1-800-252-5400 hotline or to the local law enforcement agency.

11. Volunteers recognize their boundaries of competence and provide only those services, and use only those techniques, for which they are qualified by approved training experiences.

12. Volunteers should be mindful of any gifts given to them by clients. Any gift offered should not exceed an excessive nominal value, and if so, should be politely declined.

I understand that any violation of this code may be grounds for removal as a volunteer from the WCCAC.
Signature*

Clear
Date of signature*

MonthDayYear
Date

           Release of Liability

By signing this acknowledgment and release, I acknowledge that I am volunteering my services at the Williamson County Children’s Advocacy Center. I acknowledge that my participation is completely voluntary and is being undertaken without promise or expectation of compensation.

I am aware that, in participating in any Williamson County Children’s Advocacy Center project, I may be exposed to personal injury or damage to my property as a result of my activities, the activities of other persons, or the conditions under which my volunteer services are performed. With full knowledge and understanding, I accept any and all risks of damage, injury, illness, or death, and I release and discharge Williamson County Children’s Advocacy Center, its officers, directors, and employees, from any claims for damages or injury and all liability arising out of my participation as a volunteer.

I have carefully read this acknowledgment and release and fully understand its contents. I am aware that this is a release of liability, and I freely and voluntarily accept the terms. I certify that I am at least 18 years of age. I further state that I am in proper condition for participating in all activities agreed upon. I agree to abide by all rules and expectations established by the Williamson County Children’s Advocacy Center.
Confidentiality Agreement

I promise that I shall hold in confidence all information about individuals involved or associated with the Williamson County Children’s Advocacy Center. I will not violate the confidential relationship between WCCAC staff, clients, victims, volunteers, and interagency team members.

I will not remove from the Williamson County Children’s Advocacy Center any written records or repeat information found in written records.

I accept full responsibility for maintaining the confidential and private nature of all records and information. I understand that I am personally responsible and liable for any violation of this agreement.
Signature*

Clear
Date of signature*

MonthDayYear
Date
Should be Empty:

WCCAC Volunteer Application

Contact Information

Emergency Contact Information

Availability:

Background Information