Volunteer application

Name: *

First Name Last Name

Date of Birth

* You must be at least 18 to volunteer

Gender

Address: *

Street Address

Street Address Line 2

City State

Zip Code

E-mail: *

example@example.com

Contact number: *

How did you hear about our organization? *

Please describe any volunteer work past or present (church, community, etc.): N/A if none *

Please describe any experience/skills that you feel would benefit this organization: *

Please describe any past experiences you have working with this or a similar population (previous experience not required): N/A if none *

In what area(s) would you like to volunteer with our organization (choose all that apply) *

Community Awareness/Education Social media, press & Publicity Marketing Fundraising Event planning/table set up, etc. Photography or Filming Working directly with victims/survivors (Emergency Shelter/Safe Home) Other *

* If preferred area is not listed, please describe where you feel you would best fit within our organization:

Please tell us why you would like to volunteer with us, if not already described above: *

Are you interested in a short or long-term commitment?

Short Term Long Term Not Sure

Are you willing to attend required training provided via online or in person? (Time commitment approx. 2 hours) *

Yes No

Are there any special issues in your life right now that would have an impact on your commitment and involvement in our organization (relationship, other commitment, etc): N/A if none *

Are there any other pertinent details you feel we should know. (e.g. Personal or family history of sexual abuse, anything that may cause a trigger or emotional suffering for you): N/A if none *

Have you ever been arrested? If Yes - please list dates, offense and the outcome *

Do you authorize SWF representatives to take, use and publish photographs or videos of yourself (at volunteer events, etc.) to be used on SWF website, social media and/or promotional material? You may revoke this authorization at any time by sending us written communication and it will be removed immediately. *

Yes No

Before proceeding, please make sure that you have read, understand and agree to Shepherd's Watch Foundation's Confidentiality Agreement & Waiver of Liability. Both documents can be found HERE and require electronic signatures.

Please confirm: *

I acknowledge that I have read, agree to and have electronically signed these documents

Permission to Obtain Background Screening
By signing the box below, you are authorizing Shepherd's Watch Foundation to obtain background information based on the information you have provided. Shepherd's Watch Foundation must keep this completed form on file after requesting a background check.

I, the undersigned applicant (also known as “consumer”), authorize, without reservation, Shepherd's Watch Foundation through its independent contractor, to procure background information (also known as a “consumer report and/or investigative consumer report”) about me. This report may include my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history / records; and the state sex offender records.

I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my written request to Shepherd's Watch Foundation, if such a request is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.

Your Full Name (Print)

Date *

Signature

Clear

Personal Details

Legal

Applicant's Statement

Confidential Background Screening