• Volunteer Application

  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Contact Information

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

  • Volunteering Areas of Interest

    (Check all areas of interest and add specifics as needed.)
  • Neighbor Engagement (Helping Neighbors pursue their skills and interests.)
    Rows
  • Administrative
    Rows
  • Facilities
    Rows
  • Guest Services
    Rows
  • Volunteering Availability (Check all that apply.)*
  • Time of Day*
  • How did you hear about Amber Grace Community? Please check all that apply & leave details for each:
    Rows
  • Have you ever been convicted of a felony?*
  • If yes, please identify (1) the offense(s) and the date(s) of conviction, (2) the state where the conviction occurred, (3) the sentence, and (4) a summary of the circumstances. Convictions will not necessarily disqualify an applicant from volunteering but will be considered in relation to the specific circumstances and specific volunteer duties. Failure to answer the question fully and accurately could result in denial of opportunity. Please note: You do not have to answer "yes" to any conviction that has been erased, expunged, vacates, annulled, pardoned, set aside, sealed, or otherwise eradicated by a court.

  • Reference

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Please read the following statements carefully and sign:
  • 1. All potential volunteers must consent to a background check to help ensure the safety of all Neighbors.

  • 2. Amber Grace Community is grateful for your willingness to share your time and gifts. Providing a safe and secure environment for Adults with IDD is of the utmost importance to us. The information gathered in this application helps us care well for the Neighbors of our community and maintain the highest quality programs.

    Amber Grace Community has zero tolerance for abuse and will not tolerate any form of mistreatment of Adults with IDD. Any volunteer found to be in violation of this standard will be subject to disciplinary action, up to and including dismissal from volunteer service and referral to law enforcement.

    All concerns or allegations of abuse or misconduct are taken seriously. Amber Grace Community will cooperate fully with appropriate authorities in the investigation of any such concerns. Volunteers are expected to fully cooperate with both external and internal investigations. Failure to do so may result in dismissal from volunteer service.

  • By signing below, I acknowledge that I have read and understand the policies outlined above, including Amber Grace Community’s zero-tolerance policy regarding abuse and misconduct.

     

    • I consent to a background check as a condition of volunteering and understand that my volunteer service is contingent upon the results.

     

    • I consent to having the reference listed above checked as needed.

     

    • I agree to uphold the standards of conduct expected of volunteers and to fully cooperate with any internal or external investigation, if required.

  • *   Pick a Date*   

  • Thank you for completing the Volunteer Application!

    Please be sure to add the email address info@ambergrace.com and noreply@jotform.com as a safe senders to your email account. If you do not see a notification email after clicking Submit below, please be sure to check your Spam or Junk folder.

    Grateful for your time and interest,

    The Amber Grace Team

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