Volunteer Application Form About MeFirst Name(Required) Last Name(Required) Email Address(Required) Phone Number(Required)Best Time To CallMorningAfternoonEveningAddress Type(Required)HomeWorkOtherStreet Address(Required) Apt/unit/box (optional) City(Required) State(Required) Zip Code(Required) Do you have any medical or physical conditions that would limit or hinder services opportunities? (Please explain) Yes No Please Describe Birthday(Required) DD dash MM dash YYYY Gender(Required) Occupation(Required) Marital Status(Required) Single Married Divorced Widowed Engaged How long have you lived in the Danville or surrounding area? Emergency Contact Name First PhoneContact TypeSpouseRelativeOther Home Church ReferenceCurrent Home Church PhonePastor or Leadership Contact Position or Title How are you involved at your church? References Name First PhoneHow Connected Length of Time Connected Volunteer Experience & PreferencesList any skills, talents, special training....... How did you hear about volunteering?VCR websiteVCR emailVCR newsletterVCR recruitment driveFriend or relativeVCR FacebookThrift Store FacebookOtherOther Have you volunteered at any other ministry or service? Yes No Where, when and what did you do? What motivates you to want to volunteer with the homeless population and Vermilion Community Restoration? What ministry would you like to serve? Choose only one volunteer position that interests you at this time so we can efficiently process your application to make it easier for you. Administrative Assistance Community Kitchen: donate/serve a meal Fundraising & Events Grant Specialist-Proposal Writer Men’s Shelter Repairs & Maintenance, Facilities Social Media-Video Editing-Website Thrift Store Women & Children's Shelter If your primary interest is the Men’s or Women’s Shelter: What type of interaction are you currently comfortable with in regards to interacting with our homeless guests? (There are no wrong answers.) Very Limited Interaction Some Interaction Interaction Anytime How often would you like to volunteer? 1x a week 1x a month Varied Schedule Disclaimer and Release By submitting this application, I hereby grant Vermilion Community Restoration permission to contact all individuals, organizations, and references listed herein to authenticate the information provided. I release all liability from any person or organization that discloses details about me, including the individuals listed as references, as well as contacts from my previous work or voluntary engagements with children. Moreover, I expressly permit Vermilion Community Restoration screening personnel to communicate with any former employer or organization associated with my experience in working with children, minors, or vulnerable adults. Furthermore, I solemnly declare that all the entered information is accurate and truthful. By clicking the submit button below, I signify my consent as if I were signing physically. I Authorize I Authorize I give Vermilion Community Restoration permission to conduct a thorough background check as part of my volunteer application. I will promptly report any updates to my criminal history. Background checks will be done periodically, not exceeding 12 months. Background Check PolicyRelease(Required) Release* By becoming a volunteer or participant in a Vermilion Community Restoration event, I give Vermilion Community Restoration, its legal representatives, and assigns the right to use my name, likeness, photographs, videos, and sound recordings captured during events, across various media platforms, and for any lawful purpose. I release Vermilion Community Restoration from any liability related to the use of these materials. Additionally, if I serve as a volunteer photographer, videographer, or writer for Vermilion Community Restoration during any activity or event, I agree to assign ownership of the photos, videos, and creative materials I create to Vermilion Community Restoration, granting them the right to broadcast, publish, or use them for any lawful purpose. I acknowledge that these materials will be considered a "Work Made for Hire" under U.S. Copyright Law. I promise not to display, use, distribute, or sell these materials without permission from the Vermilion Community Restoration. I understand(Required) I understand* that by providing my contact information listed above, I agree to be contacted by Vermilion Community Restoration via mail, telephone, email or text message. By entering my full name below, I recognize that this is the equivalent of my legal signature. Office Use OnlyOffice Use OnlyContacted OnBackground Check OnInterviewed OnOffice Use OnlyCompleted Training OnTrained ByCompleted/Signed Paperwork OnFirst Volunteer Day
