Confidential Volunteer Application

Confidential Volunteer Application

All information in this application will be kept strictly confidential and shall be used only in the administration of our services.
PERSONAL INFORMATION
Name*

First NameLast Name
Date Submitted*

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number*
If you not have one, please type N/A
Driver License Number*
If you not have one, please type N/A
Phone Number*
If you not have one, please type 210 000 0000
Best time to contact you*

MorningEveningAnytime
Email*
If you not have one please type example@example.com
May we add your email to the SAAF Newsletter to keep you connected with updates and volunteer opportunities?*

YesNo
Ethnicity (Optional, for grant purposes only)
Can we say we are calling from SAAF?*

YesNo
Date of Birth*

MonthDayYear
Date
Age
Sex assigned at birth*
Gender Indentity

Cisgender (I identify with the sex I was assigned at birth.)TrasmanTranswomanNon-BinaryOther
Current Employer and Years Employed*
Occupation
Former Employer
Last Date of Employment

MonthDayYear
Date
Position
Do you claim any disabilities or have any physical limitations that might interfere with your work? If yes please explain:
Have you ever been convicted of a felony? If yes, please explain
List of Prior Volunteer Activity (community, church, etc.):
Hobbies:
EDUCATION
School Attended 1:
Degree (if applicable):
Major (if applicable):
School Attended 2:
Degree (if applicable):
Major (if applicable):
Special Skills, Foreign Languages, Interests, Experience:
Briefly explain why you want to be a volunteer at SAAF*
In case of emergency, please contact:
Name*
Relationship*
Phone Number*
Please enter a valid phone number.
Other information
How did you hear about SAAF*
Are you volunteering as part of a school volunteer program?*

YesNo
If so, which school program?*
Are you volunteering to fulfill volunteer requirements for school or work?*

YesNo
If yes, how many hours are required?*
Are you part of an organization/company volunteer group?*

YesNo
Provide the contact information for the person who manages or leads the group, including their full name, phone number, and email.*
If you don’t have this info, please ask your manager/lead to email the group details to hello@sanantonioaids.org
Are you volunteering to fulfill court-mandated community service?*

YesNo
If yes, how many hours are required?*
These hours need to be completed by:*

MonthDayYear
Eligibility can take a few days. If your deadline is near, call 726-233-8982 for options.
Do you have your own method of transportation?*

YesNo
If yes, what type of vehicle do you drive?

CarTruckSUVMini-VanOther
Would you be willing to use your vehicle for SAAF volunteer activities (transporting clients, hauling equipment, etc.?*

YesNo
Do you have the basic auto liability coverage required by the state of Texas?*

YesNo
Can you estimate how long you intend to volunteer at SAAF? (Certain volunteer activities at SAAF require longer-term commitments)*

1 month or less (short term)2-4 months4-6 months6 months-1 year (long term)Can't say at this time
What type of volunteer position are you applying for? (See Volunteer Job Describtions)*

In-House (at SAAF)Special Events Only (Not at SAAF)I'd like to work both in House and Special Events
What type of volunteer opportunities are you applying for?*

Food pantryReception/light office workReceive training to assist with answering phone callsGroup yard beautificationKitchen/hot meal assistance, kitchen prep and clean-upHousekeeping and maintenanceEvent support: Webb Party, Run & Walk, World AIDS Day and othersEvent Clean Up: Webb Party, Run & Walk, World AIDS Day and others

AVAILABILITY (Please indicate times you are available)*

	Morning(8am-Noon)	Afternoon(Noon-6pm)	Evening(5pm-6pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please indicate other times you are available (Include if you only plan to come certain times per month, etc:
As part of our licensing agreement with the Texas Department of Health, all volunteers working on the premises or with clients are required to complete orientation and training. This training includes facility policies concerning areas such as confidentiality, infection control and sanitation, emergency procedures and evacuation plans, and specific training for assigned tasks. Persons applying for Special Events Only positions do not need to attend volunteer training, unless specified by the event. Are you willing to go through volunteer training?*

YesNo
VOLUNTEER POLICY STATEMENT
Confidentiality of all information and records of clients is required. Breach of this policy is grounds for immediate termination of volunteers. All information obtained in any matter about a client or potential client will not be disclosed to anyone without the client's written consent, except as authorized by law. Volunteers are prohibited from using or soliciting SAAF materials for personal use. In addition, volunteers will not accept material compensation or gratuity for their efforts. Acceptance of and agreement with these policies is a condition of volunteer service. Volunteers must sign this statement prior to SAAF's acceptance of their service. We reserve the right to refuse any person for volunteer service.
I HAVE READ THE AGREEMENT AND UNDERSTAND ITS CONTENTS. *

Clear
Date*

MonthDayYear
Date
I'm over 18 years old.*

I'm over 18 years old.I'm over 12 years old and I have written consent of a parent or guardian.
Legal Guardian Signature*

Clear
Date*

MonthDayYear
Date
This application will be review by the designed staff and you will be contact for a follow-up.
Should be Empty:

Confidential Volunteer Application

PERSONAL INFORMATION

EDUCATION

In case of emergency, please contact:

Other information

VOLUNTEER POLICY STATEMENT