Companions on a Journey Volunteer Form

Companions on a Journey Volunteer Form
Volunteer Name
Date

Month Day Year
Date
Volunteers are an integral part of any Non-Profit organization. Companions on a Journey’s (COJ) mission is to provide ongoing support and life balance for the bereaved in families, schools, businesses and organizations, with faith, hope and love: one child, one teen, one adult, one family at a time.

Volunteers at COJ can choose from a variety of opportunities in these areas:
- Office
- Events
- Funding
- Outreach
- Group Facilitators - Children, Teens, Adults, Families (requires attending specialized training)
Interested individuals must fulfill the following:
- Meet with a Volunteer Coordinator or attend an information session,
- Complete a volunteer application,
- Attend a COJ Orientation within the first 60 days, and
- Sign an expectation agreement.
- Read required documents (listed below under policy)
For some positions your Resume may be requested, and you affirm that the facts set forth are true and complete.

If accepted as a Volunteer, any false statements, omissions, or other misrepresentations made by the individual on this application may result in withdrawal for Companions on a Journey Grief Support Inc.
Our Policy

COJ is a Faith Based Organization, and considers well-being of the individual grieving as its top priority.

COJ will provide equal opportunities without regard to race, color, religion, national origin, gender, age, or disability. Once application is submitted and accepted, Volunteers Employees will be required to read the following:
- Conflicts of Interest Policy & Conflict of Interest Disclosure
- Child Protection
- Safety Policy
- Donation, Sponsorship, and Advertising Standards and Guidelines.
- Gift Acceptance Policy
- Employee Handbook and agree with the above Policy statements
Personal Information
Name:

First Name Last Name
Address:
City, State:
Zip:
Daytime Phone:
Please enter a valid phone number.
Evening Phone:
Please enter a valid phone number.
Email:
example@example.com
Current Employer:
Date of Birth:
ex: 02/19/1997
Current Employer:
Employer Address:
Occupation Title:
Does your employer provide work hours for volunteer/service?

Yes No
In case of an emergency, please notify:
Name:

First Name Last Name
Relationship:
Daytime Phone:
Evening Phone:
Please enter a valid phone number.
Education
Name of school(s):
Attended no. years:
Degree courses or major:
Other Educational Experience (including workshops, training programs, seminars, etc.):
Skills
Please indicate any special skills that you would like to share in your volunteer role (e.g. fundraising, hospitality, organizing, etc) and any in which you have been trained/licensed (e.g. R.N., Computers, Teacher, Computer Tech)
Volunteer Area(s) of Interest
Please check all that apply

Office Support Administration Asst Phone communication Weekly Prep for schools/groups E-mail Communication (data entry) Event prep: Annual Grief Retreat (April 13, Saturday) Type option 6 Event prep: Golf Outing (May/June Event prep: Special Family Events (Bonfire - October, Butterfly Release-May, Christmas Remembrance) Event prep: Lunch, Dinner, Social Organizer for Adults Event prep: Gala Annual Fundraiser (November) Grant writing Fundraising: Shamrock Shuffle Volunteer - 3 (May) Fundraising: UCBMA Food Truck Rally Volunteer – 6 (Aug) Volunteer Recruiter – invite others to become involved, assist with Orientation Deliver Seeds of Hope Baskets to Organizations w/ crisis/death as needed i.e. School, Police Station, Fire Station, business Table Representative – attend informational opportunities to promote COJ Sending out official "Thank You" to people and organizations who have made donations Group Facilitators - Children, Teens, Adults, Families (requires attending specialized training)
Why do you wish to be a Volunteer?
2. Describe your personal experience with death and loss. (Have you experienced any deaths in your family or of those close to you? If yes, please specify the relationship and when they died):
Please list any previous volunteer experience:
Do you have any physical or medical conditions which may limit your ability to participate in?
5. Have you ever been convicted of a felony?
Reference
Name:

First Name Last Name
Relationship:
How long have you known him/her?
Daytime Phone:
Evening Phone:
Please enter a valid phone number.
By submitting my Resume, I affirm that the facts set forth are true and complete. I understand that if I am accepted as volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my withdrawal for Companions on a Journey Grief Support Inc.

Companions on a Journey Grief Support Inc. is a Faith Based Organization and considers well-being of the individual grieving as its top priority.

Companions on a Journey Grief Support Inc. will provide equal opportunities without regard to race, color, religion, national origin, gender, age, or disability.

Acceptance into and completion of volunteer training does not imply or guarantee acceptance into any program other than the Volunteer Program, which is also not guaranteed.

I have read and agree with the above Agreement and Policy statements.
Signature:

Clear
Print Name:

First Name Last Name
Date:

Month Day Year
Date
Should be Empty:

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Companions on a Journey Volunteer Form

Personal Information

Education

Skills

Volunteer Area(s) of Interest

Reference