Supplemental Volunteer Application

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Thank you for your interest in volunteering with us! If you have not filled out the general volunteer application, please do so before filling out the supplemental volunteer application.

Email *

Name (First) *

Name (Last) *

What is your birthdate? *

YYYY

I am interested in (check all that apply) *

Engaging in childcare

Chaperoning a summer field trip

Teaching a life skills class

Practicing your profession

Translating for a family

Search for housing leads for Door of Hope families

Required

If you are interested in Practicing Your Profession, select how you would like to do this (check all that apply):

Participate in an informational interview

Engage in job shadowing

Offer an externship

Offer an internship

Volunteer on a career panel at Door of Hope

Host a workshop or speaking engagement related to your profession

Offer employment opportunities

Offer your professional service

If you selected "translating for a family," please indicate what language(s) you speak:

Background Check *

Have you ever been convicted of a criminal offense (felony or misdemeanor?)

Have you entered a plea agreement including a deferred sentence or deferred judgment arrangement in connection with a criminal case?

Have you ever been charged with a sexual offense relating to children, or crime of violence?

Have you ever been the subject of a civil lawsuit involving sexual misconduct, violence, or injury, involving adults or children?

Have you ever been reported to any organization or registry for abuse or misconduct involving children?

Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or misconduct involving children?

Have you ever been disciplined or dismissed from any volunteer position or employment following an allegation or sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior of conduct?

Have you ever been reprimanded, or asked to leave or end your membership in a church?

Have you ever been the subject of a complaint or disciplinary proceeding against any professional license or professional affiliation held by you?

Have you ever been treated for any nervous or mental illness?

None of the above apply to me.

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