Volunteer Application & Agreement

Volunteer Application & Agreement
Full Name*

First NameLast Name
Preferred Name or Nickname?*
Phone*

Area CodePhone Number
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence*
Are you currently a student?*

YesNo
What is your current level of education?

Currently in High SchoolCurrently in College
Are you needing to fulfill service hours for a program? (school, scholarship, club, etc.)

YesNo
What is the name of your current school?
Name of college program or course you need volunteer hours for.
Name of Employer (if applicable)
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*

Area CodePhone Number
Emergency Contact Relationship To You*
Ex: Spouse, Mother, Father, Guardian, Partner
What volunteer roles are you interested in? Select as many as you'd like.*

Appointment LineCommunity EventsSocial Media Support
County(ies) you would be willing to volunteer in. Select as many as you'd like.

BledsoeBradleyFranklinGrundyHamiltonMarionMcMinnMeigsPolkRheaSequatchie
Language(s) Spoken*

EnglishSpanish
Unisex T-Shirt Size*
Do you have previous volunteer experience? We'd love to know more!
How did you hear about A Step Ahead Chattanooga? What motivated you to volunteer?
Tell us a bit more about yourself! Hobbies, pets, passions? We're all ears.
Social media/photography release:

I give permission to A Step Ahead Chattanooga to use my photograph and name for publicity or educational purposes in print form and/or on social media. I understand that all materials will remain the property of A Step Ahead Chattanooga and I am not entitled to any compensation or payment for their use.1
Signed

Clear
Date

MonthDayYear
Date
I understand the following:
- A Step Ahead Chattanooga has a right to perform a background check on any potential volunteer.
- To never share the identity of existing and potential clients of Step Ahead Chattanooga.
- To never discuss existing or potential clients or their circumstances with anyone outside the organization.
- To never discuss existing or potential clients or their circumstances with other volunteers or contract workers unless necessary for job function.
- To respect the confidentiality of my fellow team members, volunteers, and A Step Ahead Chattanooga staff under all circumstances.
Signed*

Clear
Date

MonthDayYear
Date
After you hit submit you will be redirected to our Policies and Procedures page.

You will need to read and confirm that you agree with and understand our policies and procedures.
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