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Volunteer Application
Your Information
Name
*
First
Middle
Last
List any previously used names:
Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Please provide that address (if you lived outside of Texas):
Gender
Male
Female
Phone
*
Good time to reach you by phone:
Email Address
*
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
Check all that apply:
I speak Spanish.
I know Sign Language.
I have transportation.
Where did you hear about volunteering for The Arc of the Capital Area?
Volunteer Match
A friend
My company
Create The Good
National Charity League - Cap Tex
National Charity League - North Austin
Junior League of Austin
Young Men's Service League
Other
What other source did you hear about us from?
Name of Child Who Will Be Volunteering with You
*
Employer
*
Does your employer provide funds for volunteer hours?
Yes
No
Not sure
Volunteer Experience
1) Place, Date and Type of Work
2) Place, Date and Type of Work
Have you ever worked with adults or children with disabilities?
*
Yes
No
If yes, briefly describe your experience:
Have you ever volunteered with The Arc of the Capital Area in the past?
*
Yes
No
Please provide the year:
2019
2018
2017
2016
2015
2014
2012
2011
2010 or earlier
In what areas are you interested in volunteering?
*
Art Studio Education Assistant
Adult Education Assistant
Mentoring
Monthly Bowling Club, Wednesdays 2-4pm
Monthly Activity Nights, Wednesdays 4:45-7pm
Special Events
Teaching an Educational Workshop
Volunteer Ambassador
When would you like to volunteer to be Car Runner/Safety Guard?
The Safety Guard will help ensure safety in our pick up/drop off area in front of our building. They will be provided a Walkie-Talkie and safety vest and will let staff know when a student's ride has arrived.
Morning shift, 8:30-9:30am, Monday-Friday
Afternoon shift, 1:30-2:30pm, Monday-Friday
I am interested in volunteering for bowling
just one time
continuously
I am interested in volunteering
*
just one time
more than once
Which days are you available to volunteer?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Which shifts are you available for?
*
Full-day shift: 8:30am-2:30pm
Morning shift: 8:30am-11:30am
Afternoon shift: 11:30am-2:30pm
When would you like to volunteer in the Adult Education Program?
Adult Ed full-day shift: 8:30am-2:30pm
Adult Ed morning shift: 8:30am-11:30am
Adult Ed afternoon shift: 11:30am-2:30pm
Which days are you available to volunteer with the Adult Education Program?
Monday
Tuesday
Wednesday
Thursday
Friday
For how long would you like to volunteer?
Please note: Volunteering with the art studio or the Adult Education Program requires a commitment of at least 4 months
One Year
Six Months
One Semester
Please list any skills, languages, hobbies, abilities, or interests that you would like to utilize in your volunteer experiences.
Are you volunteering for class credit?
Yes
No
School
Number of Hours Needed
Please Note: Volunteering with the art studio requires at least a 4-month commitment.
Course Name
Instructor Name
Instructor Email
Criminal Background
Have you ever been convicted of a crime?
*
Select
Yes
No
Crime details - If yes, please explain.
*
Criminal Background Check Authorization/Waiver/Indemnity/Confidentiality/Media Consent
*
I hereby give permission for The Arc to obtain information relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to determine my eligibility for a volunteer position with this organization. I also understand that as long as I remain a volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received. I, the undersigned, do for myself, my heirs, executors and administrator, hereby remise, release and forever discharge and agree to indemnify The Arc of the Capital Area, a service of United Way/Capital Area and each of their officers, directors, employees and agents harmless from and against any and all causes of actions, suits, liabilities, cost, debts and sums of money, claims and demands whatsoever, and any and all related expenses resulting from the investigation of my background in connection with my application to become a volunteer. I understand that any information released to me about any Arc of the Capital Area client is strictly confidential. I agree to keep this information confidential. I understand that The Arc of the Capital Area adheres to a tobacco free policy in all facilities where volunteer activities take place. I agree to not use tobacco products while volunteering or when on the premises. I hereby grant permission for The Arc of the Capital Area to use my name, likeness, written and spoken comments in informational, promotional, development, and fundraising materials to promote quality programs and community awareness for persons with disabilities.
Yes, I have read these statements and agree.
If volunteer is under 18, please list parent/guardian name
First
Last
Guardian will need to be in attendance with the minor.