Volunteer Application

Volunteer Application

Fill in the form below to volunteer to our organization
Contact Information

Please fill out the info below
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Relationship
Opportunities
Select all of the departments you would like to Volunteer for:

Head Start/Child DevelopmentVITACrisis ServicesInternship ProgramFood DistributionCommunity Garden
Are you volunteering for a school-related activity? (example: internships, service learning, ect.)

YesNo
Your School
Program/Major
Number of Hours Required
Start Date of your School Related Volunteer Activity
End Date of your School Related Volunteer Activity
Are you volunteering with a company, church, or other group?

YesNo
Name of company, church, or group.
Start date of company, church, or group activities

MonthDayYear
Date
End date of company, church, or group activities

MonthDayYear
Date
! Required Documents

Please upload scans, PDFs or photos of the following:
Required for Head Start/Child Development
- MMR Vaccination
- tDAP Vaccination
Required for Head Start/Child Development, Crisis Services, and KCAO Interns
- TB Test (as recent as one year)
- Child Abuse Mandated Reporter Certificate
Upload Required Documents

Browse Files

Cancelof
If you can’t submit all Required Documents, please continue to submit your volunteer application and you can send your documents in the following ways:
- Visit KCAO.org/volunteer and click on the “Submit Documents” button
- Email your proof of vaccinations to Savino Perico at SPerico@kcao.org
Availability
Which days are you available?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Which hours are you available?*

Mornings (8am - 12pm)Afternoons (12pm - 5pm)Evenings (5pm - 9pm)Other
Are you a new volunteer or are you currently volunteering at a food distribution site?

New VolunteerCurrent Volunteer
Which Food Distribution Site are you interested in?

Kettleman City - 75 5th St Kettleman City, CAStratford - Reestablishing Stratford 19300 Empire St Stratford, CAHanford Home Garden Opportunity Center - 11593 S 10th Ave Hanford, CA
Which Food Distribution Site are you currently volunteering at?

Kettleman City - 75 5th St Kettleman City, CAStratford - Reestablishing Stratford 19300 Empire St Stratford, CAHanford Home Garden Opportunity Center - 11593 S 10th Ave Hanford, CA
Please summarize special skills, hobbies, sports, or talents you can bring to the KCAO team.
Volunteer Agreement and Standards of Conduct
Each volunteer is responsible for safeguarding confidential information obtained during volunteer service. In the course of your service, you may have access to confidential information regarding the agency, its clients, its supplies or perhaps even employees. It is your responsibility to in no way reveal or disclose any such information. As a volunteer for KCAO I agree to:
- A volunteer/intern is anyone who chooses to perform services for KCAO without compensation or expectation of compensation and who performs a task at the direction of and on behalf of KCAO Undergo health screening, including all immunization required for Head Start and Child Development programs
- Fill out a criminal record statement and will receive clearance through a live scan or volunteer less than 16 hours a week if applicable
- Follow the agency’s dress code at all times
- Sign in and out recording attendance each day and attend service sessions as appropriate
- Follow the agency’s confidentiality policy at all times
- Follow program confidentiality policies concerning information about children, families, and other staff members.
- Use positive methods of child guidance and you will not engage in corporal punishment, emotional or physical abuse, or humiliation. In addition, you will not employ methods of discipline that involve isolation, the use of food as punishment or reward, or the denial of basic needs.
Violations of these agreements and standard of conduct can result in termination of your volunteer service, at management’s sole discretion. There is no stand series of disciplinary steps KCAO must follow for termination of volunteer service. In certain circumstances, your conduct may lead to immediate termination and can be with no explanation.
I have read and understand the above "Volunteer Agreement and Standards of Conduct" and agree that it is my responsibility to follow these, and any other written or verbal instructions given to me regarding acceptable behavior, and that failure on my part to adhere to these standards may be cause for termination of my volunteer service with KCAO.*

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Volunteer Application

Contact Information

Emergency Contact

Opportunities

! Required Documents

Availability

Volunteer Agreement and Standards of Conduct