Raleigh Rescue Mission : Volunteer Application, Individual

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Individual Volunteer Application

Thank you for your interest in volunteering at Raleigh Rescue Mission. Please complete and submit the application below. We are currently recruiting for the Director of Volunteer Ministry position but you will be contacted by Raleigh Rescue Mission within two weeks of submitting your application. We appreciate your understanding and patience during this transitional period.

	General Information
Date
Date of Birth
* Volunteer Name (first, middle initial, last)
* Email address
* Daytime Phone
Evening Phone
Mailing Address
City, State, Zip

	Reference Please list one non-relative who lives locally and knows you well.
* First and Last Name
* Relation to you
* Daytime Phone
Evening Phone
Mailing Address
City, State, Zip
* Email Address

Security Information

Your response to any of these security questions will not automatically disqualify you from volunteering. However, if you answer "no" and a criminal history is found or if you answer "yes" but did not include all convictions you will be disqualified from consideration.

Have you ever been convicted (pleaded guilty or been found guilty) of a misdemeanor or felony? List any and all convictions and provide dates of each. (Including, but not limited to, major traffic violations, writing bad checks and DWI)

YES NO

Volunteer Interests

Please identify the areas of service in which you have an interest and/or expertise (check all that apply).

Beginning Typing Facilitator	Clinic Nurse
Men's Ministry Emergency Shelter	Computer Lab Facilitator
Dentist	Evening Child Care Provider
Tutor	Dental Assistant
Front Desk Receptionist	Early Childhood Assistant
Medical Clerical Assistant	Donation Station
Food Pantry	Linen Closet Keeper
Family Nurse Practitioner	Administrative Assistant
Starbucks Pick-Up	Fresh Market Pick-Up
Food Lion Pick-Up	Whole Foods Pick-Up
Driver

Meal Service
	Prepare	Serve
	Clean-Up	Full Service

Please indicate any additional skills, talents or training you have that may be of use in your volunteer service

	Time Availability
	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning
Afternoon
Evening
Are you Employed?		Yes No		If yes, where?
Do you attend a local church?		Yes No		If yes, where?

	In-Depth Questions Please fill-out completely.
	Please list your three favorite ways to spend free time (hobbies, interests, etc.):
	Please list three of your strengths:
	Please list three of your weaknesses:
	Please tell us why you would like to be involved with the Volunteer ministry at Raleigh Rescue Mission:

Indemnity and Hold Harmless Agreement

By submitting this application I hereby agree to hold harmless and indemnify Raleigh Rescue Mission and/or any of its auxiliary or affiliated organizations from any and all claims, suits, causes of action and liability arising out of any claims, suits or causes of action of any kind which undersigned or his/her child may have from now henceforward arising out of any actions, activities or events sponsored by Raleigh Rescue Mission and/or any of its auxiliary or affiliated organizations. This hold harmless and indemnity agreement extends to any acts and/or omissions engaged in by or attributable to any person or entity, including any agent, employee, volunteer or board member of Raleigh Rescue Mission and/or any of its auxiliary or affiliated organizations. I realize that Raleigh Rescue Mission will not be held responsible for any accident or injury that may occur while I am a volunteer. I also understand and agree that I may ask or be asked to end my volunteer service at any time, for any reason with sufficient notice. I will respect the confidentiality of all client information available to me through my position and maintain a professional relationship with all Raleigh Rescue Mission staff and residents while I am a volunteer with this organization.

Volunteer Information & Guidelines

Please review the Volunteer Information and Guidelines online. After reading, please check the box at the end of this form indicating that you have read the Mission Volunteer Information & Guidelines and are responsible for the information contained within the document, and agree to the terms and conditions set forth in this document.

Volunteer Agreement

I acknowledge my understanding that Raleigh Rescue Mission is engaged in the practice of ministry and that within the context of that ministry I am volunteering to perform work duties without any expectation that I will be paid any wages or salary or any other type of compensation for my work. I declare that I am serving as a volunteer and not an employee. I hereby also affirm that the information I have provided on this application is correct and do authorize Raleigh Rescue Mission to contact my references listed, to perform a background check and to secure a copy of a report from the local police, if necessary. If I am new to the area, another police department may be consulted.

I have read all of the above information in full and am in agreement.

I have read the Volunteer Information and Guidelines document and understand that I am responsible for the information contained within the document, and I agree to the terms and conditions set forth in this document.