• Volunteer Voices Matters Application

  • T-Shirt Size Adult Size
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Role and Experience Section

  • What Role are you applying as?
  • How did you become aware of our organization? Please check all that apply
  • Which volunteer opportunieties would you be interested in? Check all that you are interested in.
  • Approximately how often do you prefer to volunteer for our organization?
  • Language: Are you Bilingual?

  • Emergency & Reference Contact Selection

  • Format: (000) 000-0000.

  • Personal References (Not Family)

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Criminal Background Questions

  • Have you ever been convicted of a felony or misdemeanor other than minor traffic violation, and/or been placed on probation, fined or given a suspended sentence in court? This includes any convictions in military court and any criminal charges for which you are awaiting trial. In the comment section below, list all cases other than minor traffic violations. (Driving under the influence, reckless driving or hit-and-run ARE NOT MINOR traffic violations. Your fingerprints may at some point be sent to state and federal agencies and all service will be subject to satisfactory review of any criminal convictions. PLEASE NOTE: A full disclosure by you is to your advantage as your record does not constitute on automatic bar to services. Factors such as but not limited to your age at the time of the offense(s), type of offenses(s) as well as the relationship between the offense(s) and the job(s) for which you apply will be taken into account. However, failure to admit convictions will result in disqualification. (Statement taken from Victim Service Center of Central Florida)
  • Have you ever been charged with a criminal offence?
  • Have you ever been convicted of a criminal Offence?
  • Have you ever had a criminal record sealed and/or expunged?

  • Due to the sensitive nature of this work, all volunteers are screened and interviewed, References are thoroughly researched and placed into volunteer file. Please not that any false information given on this application will prevent you from becoming a volunteer.

  • CERTIFICATION REQUIREMENTS

  • I, certify that all the information contained in this application is correct and complete to the best of my knowledge. I understand that falsification of this application in any details is grounds for disqualification for further consideration or dismissal from the service. I hereby authorize investigation of all statements I have made herein. I authorize the persons or companies herein referenced to give information regarding my past employment, together with any information that they have regarding me, whether or not it is in their records. I hereby release said persons and companies from all liability for any damages whatsoever resulting from issuing or obtaining this information. Additionally, I am not currently serving on the governing entity and understand that no preferential treatment will be given in applying for the volunteer program. If selected to serve with the Our House agency, I agree to comply by all its policies, procedures, rules and regulations, Acceptance as a volunteer will include the receipt of information related to the law enforcement background checks. As such, some of the materials presented will be privileged and confidential in nature. Due to the sensitivity of this information, it is necessary for Our House, Inc. to conduct background checks to determine the suitability of those persons desiring to become volunteers. This includes a drug background check. I certify that I meet the following requirements below.
  • How satified are you with each of the following?
    Rows
  • Should be Empty: