Survey - Sacramento Volunteer Application

Veterans & their Families: Overview; Housing; Employment & Training; Supportive Services

Sacramento Volunteer Application

Contact Information

Please fill out the information below:

Name:

First Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number: Required

Gender: Required

If you respond and have not already registered, you will receive periodic updates and communications from Volunteers of America Northern California & Northern Nevada.

(The updates you recieve will be volunteering options and updates from Volunteers of America, and you can change these settings from your email at any time)

Question - Not Required - Age

Question - Not Required - Ethnicity (optional)

Question - Required - Please check any of the populations with whom you are interested in working:
Please make at least 1 selection from the choices below.

	Seniors
	Children
	Winter Triage Homeless Shelter

Question - Required - Skills/Experience
Please make at least 1 selection from the choices below.

	Child care
	Maintenance
	Photography
	OTHER

Question - Required - Programs & Areas of Interest
Please make at least 1 selection from the choices below.

	Child care
	Yard work
	Teaching workshops
	Working with seniors

Question - Not Required - Please contact me to discuss further:

Emergency Contact

Question - Not Required - List name, phone number and relationship

(Maximum response 255 chars, approx. 5 rows of text)

Background Information

Question - Required - Have you ever been convicted of a misdemeanor or a felony? (including convictions based on "no contest" pleas)

Question - Not Required - If "yes," please provide details. (Please note: failure to disclose convictions may disqualify you from volunteer placement.)

Question - Required - How did you hear about Volunteers of America

Waivers/Agreements

Please check the yes box after each of the following sections.

Question - Required - Liability Release: I wish to volunteer. I may perform in a capacity as a volunteer that may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT I SUSTAIN OR CAUSED DURING MY PARTICIPATION AS A VOLUNTEER. IN ADDITION, I HEREBY RELEASE, HOLD HARMLESS AND CONVENANT NOT TO FILE SUIT AGAINST ANY GROUP AFFILIATED WITH THIS VOLUNTEER OPPORTUNITY.

Question - Required - Policies and Procedures: I have read and understand the volunteer policies and procedures that are listed online at www.voa-ncnn.org under the volunteer opportunities tab. I understand that failure to adhere to these policies may result in termination of my volunteer placement with Volunteers of America Northern California & Northern Nevada.

Question - Required - Mandatory reporting: I understand that under Children's Code Article 609(A) I will be considered a "mandatory reporter," and will be obligated to report any abuse or neglect of a child or other client of Volunteers of America.

Question - Required - Photo Release: I agree not to photograph any clients who are foster youth, and will adhere to any program rules and regulations regarding photography during events. As a volunteer I hereby give my consent for representatives of this event, news media and others affiliated, to photograph me while volunteering. I also give my permission for the use of said photographs in literature, websites and other promotional materials.

Volunteer Agreement

I verify that the above information is true. I understand that any false or misleading information is ground for denying or terminating my volunteer placement. I further understand that copies of this application will be sent to the Volunteers of America program in which I have indicated interest. The original will be retained in my volunteer personnel file.

Question - Required - Signature

Volunteers of America Northern California and Northern Nevada

3434 Marconi Avenue

Sacramento, CA 95821-6242

(916) 265-3400

Get Our Newsletter

© 2018 Volunteers of America Northern CA & Northern NV - All Rights Reserved. We are designated tax-exempt under section 501(c)3 of the Internal Revenue Code. Your contributions are tax-deductible to the fullest extent of the law.

]]