Volunteer Application | Voices For Children

Name*
First Last
Home Phone*
Cell Phone*
Address*
Street Address City State ZIP Code
Email*
Date Of Birth*
MM
DD
YYYY
Gender*
- Female
- Male
Marital Status
Education
Education History*
Employment
Occupation*
Employment Status*
Explain Other
Employer*
Work Address*
Street Address City State ZIP Code
Work Phone*
Emergency Contact
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship*

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Work History*
List special skills or expertise
How did you become aware of Voices For Children?*
Briefly describe past or present personal or professional experience with any of the following agencies
Department of Social Services
Juvenile Court System
Legal Aid
Other Child Welfare Agencies
Why do you wish to become a volunteer advocate?*
Our advocates are required to attend a 30 hour pre-service training, and periodic in-service training. What is your availability?*
Volunteer advocates are expected to attend court hearings and other important meetings. Will your schedule permit this?*
- Yes
- No
Do you have a police record?*
- Yes
- No
Please Explain
Has there ever been an allegation of child abuse or neglect against you?*
- Yes
- No
Please Explain
Personal References
Please list three personal references other than family members. At least one reference must be someone other than a friend or co-worker (i.e. employer)
Reference 1 Name*
First Last
Reference 1 Relationship*
Reference 1 Email*
Reference 1 Address*
Street Address City State ZIP Code
Reference 2 Name*
First Last
Reference 2 Relationship*
Reference 2 Email*
Reference 2 Address*
Street Address City State ZIP Code
Reference 3 Name*
First Last
Reference 3 Relationship*
Reference 3 Email*
Reference 3 Address*
Street Address City State ZIP Code
Signature
Voices for Children reserves the right to terminate the applicant at any point during training or during case assignment as stipulated in the Volunteer Termination Policy as stated in the Voices for Children Volunteer Policies and Procedures document. Voices for children prohibits preference, limitation, specification, or discrimination based upon race, color, sex, pregnancy, marital status, sexual orientation, gender identity, political ideology, age, creed, religion, ancestry, national origin or the presence of any sensory, mental or physical disability (not constituting a bona fide occupational qualification).
Electronic Signature*
I UNDERSTAND THE SENSITIVE NATURE OF THE WORK OF VOICES FOR CHILDREN AND, THEREFORE, GIVE MY CONSENT FOR A CRIMINAL, AGENCY AND MOTOR VEHICLE RECORD CHECK TO BE COMPLETED.

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Motor Vehicle Information
Part of your background investigation is through the Department of Motor Vehicles. Please answer the following questions whether or not you anticipate transporting a client. Please be aware that the law requires that all children younger than eight years of age, regardless of weight, or who is less that 4 feet 9 inches tall, regardless of age, must be secured in a federally approved child safety seat according to the safety seat and vehicle manufacturers' instructions.
Driver's License Number*
State Issueed*
Expiration Date*
Make and Year of your Vehicle*
License Tag Number*
State Registered*
General Condition of Vehicle*
Your motor vehicle insurance company*
Volunteers are responsible for the safe transportation of a child. Volunteers accept all liability and maintain insurance coverage necessary to adequately protect themselves and the child they are transporting as directed by state guidelines.
Your motor vehicle insurance limits*
Do you have any medical problem(s) that could impair your ability to drive?*
- Yes
- No
Describe
Have you had any driving violations or accidents in the past three years?*
- Yes
- No
Please furnish date, points charged, fines, suspensions or revocation of permit
PLEASE CHECK THE APPROPRIATE ITEM AND SIGN:*
- I hereby state the above information is correct as of this date and will abide by the VFC guidelines for transporting VFC clients and children.
- I do not own a motor vehicle.
- I do not have a driver's license
Electronic Signature*

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Step 1 of 3

Education

Employment

Emergency Contact

Briefly describe past or present personal or professional experience with any of the following agencies

Personal References

Signature

Motor Vehicle Information