Voices of Flint Youth Chorus Volunteer Application

Full Legal Name*

First NameMiddle NameLast Name

Choose one:*

This is my first time to serve as a volunteer with VOFYCI am a returning volunteer

Last four digits of your Social Security Number*

Gender

Pronouns

Current Age*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How long have you lived in Michigan? Years and months*

E-mail*

Confirmation Email

Phone Number: Best one to contact you*

Area CodePhone Number

Occupation*

Name of Employer*

Number of Years At current employer*

Emergency Contact*

Relationship *

Phone (Emergency Contact)*

T-Shirt Size

Have you received certification in any of the following?

CPRFirst AidNurseEMT

Do you have previous background or training in working with children?

YesNo

If yes, in what way?

Please describe why you wish to be a part of Voices of Flint Youth Chorus.

Do you have any medical conditions or concerns, or are you taking any medications that you believe could prevent you from being an effective volunteer that we need to know about in order to help you be effective at your volunteer placement?

NoYes

Please describe:

High School Name*

Date of Graduation*

College

College Major

Date of Graduation

Other Education

Reference #1 - Name*

First NameLast Name

Reference #1 - Phone*

Area CodePhone Number

Reference #1 - Email*

Confirmation Email

Reference #2 - Name*

First NameLast Name

Reference #2 - Phone*

Area CodePhone Number

Reference #2 - Email*

Confirmation Email

Please describe any previous experience working with children:*

Please describe any previous experience working in music/performing arts. (If none type N/A)*

List five (5) strengths you have in working with children: Please be specific*

List three (3) weaknesses you have in working with children: Please be specific*

Following Rules: How well do you follow rules and respond to authority

	1	2	3	4	5

1 is Very Well, 5 is Poorly

How do you feel you would be best utilized at camp?

I would prefer to work:

with studentsbehind the sceneswith parents/guardians

1) Have you ever been convicted of or pleaded guilty to any crimes (including crimes of record which have been expunged and pleas of 'no contest'), including municipal, state and federal?*

NoYes

2) Have you ever been placed on probation, received a Suspended Execution, Suspended Sentence or Suspended Imposition of Sentence for any offense involving a minor child (a child under 18), or been placed on ANY local, state, or federal sexual registry?*

NoYes

3) Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child?*

NoYes

4) Have you ever been subject to any court order involving any sexual, physical or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?*

NoYes

5) Have you ever resigned, been terminated or been asked to resign from a position, whether paid or as a volunteer, due to a complaint(s) of sexual, physical or verbal abuse of minors?*

NoYes

If yes to any above, please explain:*

REPRESENTATIONS AND RELEASE
I understand that for Voices of Flint Youth Chorus to provide programs, it has had to agree to abide by certain policies and parameters established by LARA, including strict policies against any form of child abuse, and that violation of these policies may be cause for dismissal. Child abuse is punishable by law, and the organization is bound by law to report allegations of abuse or any inappropriate sexual contact to the proper authorities. ALL reporting is kept confidential, by law. All volunteers must commit to immediately report any behavior that seems suspicious, questionable, abusive or inappropriate between: child-to-child, staff-to-child, and staff-to-staff.

I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicant.

I hereby certify that all of the information provided by me in this Application (or in any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.

In consideration of the receipt and evaluation of this Application by the organization, I hereby authorize you to contact any references, and for them to provide to you such information (including opinions) that they may have regarding my character and fitness for working with children; I hereby release any such references who may have provided information about me, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I also agree to hold Voices of Flint Youth Chorus harmless from any damages, specifically including attorney fees and court costs, created by or relating to my unwarranted attempt to collect damages for providing information described above or any other unwarranted action by me in connection with this Application. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.

In addition, I hereby release, and agree that I, my successors, assignees, heirs, guardians and legal representatives will not make any claims or take any legal actions against, Voices of Flint Youth Chorus or any of its affiliated organizations, or its officers, directors, employees, agents, or volunteers (“Released Parties”), for my injury, death, damage or loss, however caused, arising from or in connection with my participation in VOFYC activities, with the exception of my injury, death, damage or loss as the direct result of illegal or grossly negligent acts by VOFYC, and I will hold the Released Parties harmless from any costs or loss, including attorney fees and court costs, arising from or in connection with my activities in violation of these provisions.

I understand that submission of an application does not guarantee me acceptance as a volunteer.

I understand that none of the documents, policies, procedures, actions, statements of VOFYC used during the volunteer application process is deemed an offer for a contract or in fact a contract, real or implied. If accepted as a volunteer, I agree to follow the rules, regulations, policies, and procedures while serving as a volunteer, and understand that such compliance is a condition of remaining a volunteer.

I have carefully read the above Application and this Acknowledgement and Release and know and understand its contents; I also know the above is legally binding on me. I sign this Application and Release of my own free will.

Print Name*

Signature*

Voices of Flint Youth Chorus Volunteer Application

Education

Personal References* (required for first time volunteers only) No former employers or relatives.

Personal Profile

Criminal Background

Thank you for your interest in being a part of the VOFYC Team!