Volunteer

Name

Email

Phone

Gender

Are you over 18 years of age?

Address

Please list any social media accounts that you have:

Occupation

Sub-Group Interest

What skills would bring to the RFCCD Initiatives?

What other children/youth work experience do you have? Please list.

Have you at any time ever:

Check all that apply.

Been arrested for any reason?
Been convicted of or pleaded no contest to any crime?
Engaged in or been accused of any act of molestation, exploitation, or abuse?
No, I have not.

Are you aware of?

Check all that apply.

Having any traits or tendencies that could pose any threat to youth or others?
Any reason why you should not work with youth or others?
No, I do not have any tendencies or reasons that I should not work with youth.

If you answered “yes” to any of these questions, please explain in detail.

References

Applicant Verification and Release:

Check to agree.

I recognize that the organization to which this application is being submitted is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct.

I authorize the organization to contact any person or entity listed in this application, and I further authorize any such person or entity to provide the organization with information opinions, and impressions relating to my background or qualifications.

I voluntarily release the organization and any such person or entity listed herein from liability involving the communication of information relating to my background or qualifications. I further authorize the organization to conduct a criminal background investigation if such a check is deemed necessary.

I have carefully read the policy and procedures of the organization, and I agree to abide by them and to protect the health and safety of the children at all times.