SNR Volunteer Application

Form
Volunteer Application

This form must be completed before you can begin volunteering. The information you provide will be used to complete a background check for volunteers ages 18 and above.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Please elaborate on any specifics you would like to accomplish during your volunteer time or experiences you would like to gain.
Do you have a special talent that you would like to share with us?
Are there any specific events or groups at SNR that you would like to be involved with? 
How did you hear about SNR volunteer opportunities? Do you have a personal connection with someone with special needs?*
Program Interest Area:

Adult Life Group (year round)Youth Camp All-Stars (seasonal)Evening GroupSports
When are you available?

MondayTuesdayWednesdayThursdayFridayWeekends
What times are you available?*

10 am-12 pm12 pm- 2 pm6 pm- 9 pm
Are you comfortable transporting participants in our vans?*

YesNoI have questions, please call to discuss
I hereby authorize Specialized Needs Recreation and/or its Service Provider to request and receive any and all background information about or concerning me, including, but not limited to, my Criminal History, Driving Record, Employment History, Military Background, Civil Listings, Educational Background, Professional License from any Individual, Corporation, Partnership, Law Enforcement Agency, and other entities including my Present and Past Employers. I authorize Specialized Needs Recreation or any of its components to make reference checks for my volunteer service. I understand that this information will determine my eligibility as a volunteer/employee with Specialized Needs Recreation. 

The criminal history, as received from the reporting agencies, may include arrest and conviction data, plea bargains, deferred adjudications, and delinquent conduct committed as a juvenile. I understand that this information will be used, in part, to determine my eligibility for an employment/ volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history check may be repeated at any time. I understand that I will have an opportunity to review the criminal history as received by the client/agency, and a procedure is available for clarification if I dispute the record as received. I also understand that the criminal history could contain information presumed to be expunged. 

I further release and discharge Specialized Needs Recreation and their Service Provider and all of their Subsidiaries, Affiliates, Officers, Employees, Contract Personnel, or Associates from any and all claims and liability arising out of any request for information or records under this authorization and/or procurement of an investigative consumer report and understand that it may contain information about my character, general reputation, personal characteristics, and mode of living, whichever are applicable. 

I understand that I have the right to make a written request within a reasonable period to Specialized Needs Recreation for additional information concerning the nature and scope of the investigation. I acknowledge that I have voluntarily provided the above information for employment/volunteer purposes, and I have carefully read and understood this authorization. 
I give my permission for SNR to perform any necessary criminal background checks.*

YesNo
Have you ever been convicted of a criminal offense?*

YesNo
Are you a registered sex offender?*

YesNo
Code of Conduct
Specialized Needs Recreation (SNR) offers participants opportunities to meet new people and try new activities in a fun and safe environment. There is a mandatory Code of Conduct for everyone involved to ensure that all participants, parents/guardians, staff, Board members, and volunteers enjoy the SNR experience. Your signature below is implied and informed consent that you have reviewed, understand, and will follow the Code of Conduct while participating in SNR events.

Code of Conduct:

·         All communication is conducted appropriately and respectfully. Inappropriate tones, foul language, unkind words, pushing, shoving, threats, comments in a sexual nature, and bullying are not allowed.

·         Handholding, kissing, or any form of sexual contact is not allowed.

·         Cell phones, handheld games, and other electronic devices are allowed; however, SNR is not responsible for any damage, loss, or theft. If the device contains offensive content or becomes disruptive, it will be put away until after the day’s activity. This includes inappropriate messages to others involved in SNR.

·         Jeans with excessive holes, shorts that do not reach to mid-thigh, graphic t-shirts with lewd, foul language or depict drugs/alcohol/sexual themes, or crop tops exposing the stomach, halter tops, and spaghetti strap (less than two inches tops) are not allowed. Clothing and hats are not to be shared.

·         Individuals shall behave in a manner that does not endanger their health and safety or that of others.

·         All participants are to show respect to both the property of SNR, and locations visited during an SNR activity. Stealing, damaging, or failing to care for the property of SNR and others is unacceptable.

·         Use of illegal substances, tobacco products, vaping devices, and alcohol is prohibited at SNR or SNR events.

·         Possession of any item considered a weapon (including, but not limited to, firearms, knives, pocketknives, and switchblades) is prohibited at all times.

·         Participation at SNR and its events is voluntary and violation of any of the above Code of Conduct may result in being asked to leave SNR for the day. At the discretion of SNR Staff and Board, a major violation can result in being barred from all future SNR activities.

IF A VIOLATION OCCURRED:

The individual will be redirected to a more appropriate behavior and receive a verbal warning. The incident will be discussed with them, their parent, and/or their guardian. The verbal warning will be documented in their file.

If the problem persists, or if a second but different violation occurs with the same individual, the individual will be redirected, and a written warning will be issued and documented in the individual's file, including but not limited to documenting the specifics of the behavior and the corrective action that took place.

If there is a third occurrence or if the individual's behavior threatens his/her immediate safety or that of any other individuals, SNR will have the right to ask the individual to leave (or be picked up immediately). The behavior will be documented, and the Executive Board will be notified and has the right to refuse further participation in all SNR programs.

Depending on the severity of the offense/behavior/incident, SNR has the right to expel the individual(s) from further participation in SNR at any time without following these procedures.

No refunds will be given to individuals who are removed from the program for violating the Code of Conduct.
I have read this “Code of Conduct” and fully understand it.*

I understandI have questions, please call to discuss
Signature*

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Form

Volunteer Application

Code of Conduct