Volunteer Application | Volunteers of America North and Central Louisiana

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender

Male
Female

Date of Birth

Please specify your race

Email*

Phone*

How would you like us to contact you?

Email
Phone

Skills and Interests

What is your current occupation?

What is your educational background (high school, some college, degrees earned, etc.)?

What are your hobbies, skills or interests?

Volunteer Preferences

If you already know where or in what job you would like to volunteer, please list it:

Please check any of the following opportunities that interest you:

Please check any of the populations with whom you are interested in working:

Children and families
People with disabilities
Seniors
Veterans
Other

How often would you like to volunteer?

Weekly
Monthly
Occasionally
Other

What times/days are you available to volunteer?

Anytime
Weekdays
Weekends
Evenings

If you have a geographic preference for volunteering, please list area/neighborhood

Do you have access to transportation to get to/from your volunteer work?

Yes
No

Health and Other

If you have a disability, please list any accommodations you need to volunteer:

Are you serving or have you ever served in the U.S. Military?

yes
no

Have you been convicted of a criminal offense?

Yes
No

How did you hear about Volunteers of America?

Current volunteer or staff member
News story
Our Website
Another nonprofit organization
TV ads
Social media

Waivers/Agreements

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

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.*

Agree
Disagree

Policies and Procedures: I have read and understand the volunteer policies and procedures that are listed online at www.voanorthla.org under the volunteer tab. I understand that failure to adhere to these policies may result in termination of my volunteer placement with Volunteers of America of North Louisiana*

Agree
Disagree

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.*

Agree
Disagree

Photo Release: 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.*

Agree
Disagree

SchoolMessenger Release: As a volunteer, I give Volunteers of America North Louisiana my consent to contact me via SchoolMessenger, a Short Message Service (SMS) used to more effectively communicate via phone, text, and e-mail.*

Agree
Disagree

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.

Signature

Name

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