Volunteer Form
This form is to be completed by individuals seeking to volunteer at Princesses and Ladies Inc.
either indirectly or directly.
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First Name *
Last Name *
Address *
Phone Number *
Email Address *
Date of Birth *
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Emergency Contact (Name, Relation, Number) *
High School attending/attended (Location & Date Graduated) *
College attending/attended (Location & Date Graduated) *
Degree(s) Obtained *
Licensure (s) Obtained *
Have you ever applied to Princesses and Ladies Inc. as a volunteer? *
How did you hear about Princesses and Ladies Inc.? *
Have you ever had any professional or personal experiences regarding domestic violence? If so, please briefly explain: *
Current Occupation/Employer *
Personal or Professional Skills *
Volunteering Interests (check all that apply): *
#IAMMission Program
Group Facilitation
Advocacy
Counseling
Mentoring
Therapy
Other
Direct Services
Volunteering Interests (check all that apply): *
Financial/accounting
Grant or other research
Events
Clerical/Reception
Outreach design (flyers, brochures)
Organizing Donations
Cleaning
Scholarship Programs
Empowerment Tools Program
Donation pick up/drop off- transport
Other
Indirect Services
General Interests (check all that apply) *
Required
Volunteer Preferences: Is there a particular age group you are most interested in working with? (check all that apply) *
Required
Are there groups with which you would not be interested in working? *
Do you have any physical or mental limitations that may limit your ability to perform certain types of work? If yes, explain: *
Availability: When are you interested in volunteering? (Please list all days and times, AM & PM) *
Do you have access to transportation? *
Have you ever been convicted of a crime? Please list conviction(s) and date(s): *
It is a Princesses and Ladies Inc. policy not to consider an applicant’s arrest record in employment and volunteer decisions, but a job-related conviction may be considered. Applicants whose position requires contact with clients or their children are automatically barred from employment or volunteering if convicted of an offense that would, under the law, bar the applicant from employment by a licensed child care facility. Convictions of other offenses will be considered on a case by case basis. Every applicant shall, as part of the application process, enumerate all convictions; certify that falsification of the information is ground to deny or withdraw an employment or volunteer position or immediately terminate the employee or volunteer; and authorize the release of criminal conviction information to us. Should the background check disclose conviction for a crime, the applicant will be given a copy of the information. All background check information shall be treated as confidential and maintained in the volunteer’s file located in a private office.
I have attached three letters of reference from co-workers, friends, and/or instructors with phone numbers and addresses for each. Family members excluded. *
I have completed the Illinois Department of Child and Family Services background check form to be submitted with this application. *
When would you be available for an interview? (Please provide days and times): *
By signing below, you are authorizing Princesses and Ladies Inc. to run a criminal background check.
E-Signature *
Today's Date *
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Girls Rule, Women Conquer, Together We Empower!
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