Embracing Legacy Volunteer Application
2017-2018 Program Year Volunteer Application
Volunteer Application Instructions
To successfully complete this application you will need the following documents: Driver's License, Auto Insurance & Professional References.

NOTE: A Federal and Local Background Check is REQUIRED for all of our volunteers. If you have NOT completed one for Embracing Legacy within the last 5 years, you will be required to submit a new one with us. We DO NOT share results with other organizations nor to we accept results from other organizations.

Volunteer Information
Please complete all required fields. If not applicable, enter N/A.
Volunteer Name (Last, First)
Your answer
Application Date
MM
/
DD
/
YYYY
Returning or New Volunteer?
Employer
Your answer
Current Occupation/Title
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Address (Complete with City, State and Zip)
Your answer
Home Phone
Please use this format: xxx-xxx-xxxx
Your answer
Cell Phone
Please use this format: xxx-xxx-xxxx
Your answer
Email Address
Your answer
Languages Spoken
Please list all languages spoken proficiently.
Your answer
Driver's License Number
Your answer
Driver's License Expiration Date
MM
/
DD
/
YYYY
Auto Insurance Expiration Date
MM
/
DD
/
YYYY
Are you CPR/First Aid Certified?
Not Required, however, if you are, please provide a copy of your certification.
Emergency Contact Information
Emergency Contact
In case of emergency, please contact the following: Name, Phone Number & Relationship
Your answer
How'd you hear about us?
Are you a member of Revealing Truth Ministries?
NOTE: Membership is NOT required to volunteer with Embracing Legacy. Response is for informational purposes only.
How did you hear about us? (List Details Below)
Required
Details? (If none, N/A)
Your answer
Program Selection
Check the program(s) and/or administrative department below you would like to volunteer with.
Please select the program in which you'd like to volunteer
More than one program is acceptable.
Required
Please select the administrative area in which you'd like to volunteer
More than one administrative area is acceptable.
Required
Volunteer Gear
Volunteer Shirt Size
Our volunteer t-shirts are our uniform. Each volunteer is responsible for purchasing his/her own shirt.
Community Service (Volunteer Experience)
How many hours per week would you like to volunteer?
Your answer
Days of Availability
Required
List Current or Previous Volunteer Activities
Program Name, Phone Number, Your Role/Duties, Dates of Service (List N/A if none)
Your answer
Please list any special training, certifications, talents, interests or community involvement: (i.e. official or unofficial volunteer work in the community, singing, CPR/First Aid, etc.)
List N/A if none
Your answer
Please list any groups, clubs and/or organizational memberships.
List N/A if none.
Your answer
Past Volunteer Experience
What experiences have you had that may prepare you to serve as a volunteer for Embracing Legacy?
Your answer
Please check any additional skills you possess. Embracing Legacy will contact you about opportunities to serve. Thank you!
What experiences have you had that may prepare you to serve as a volunteer for Embracing Legacy?
Required
Professional/Volunteer References
Please provide two professional references. At least one of which must have knowledge of your participation as a volunteer in a youth program.
Reference #1
Name, Organization, Relationship, Email & Telephone Number
Your answer
Reference #2
Name, Organization, Relationship, Email & Telephone Number
Your answer
Criminal History
Have you ever been convicted of or plead guilty to any crime(s)?
If YES, please explain:
If NO, list N/A.
Your answer
Have you ever been refused participation in any other youth programs?
If YES, please explain:
If NO, list N/A.
Your answer
Are there any criminal charges pending against you regarding any crime(s) involving or against a minor?
If YES, please explain:
If NO, list N/A.
Your answer
Background Check
Both Local and Federal background checks are REQUIRED for ALL volunteers. The Local is free. The Federal is $44 , which is the responsibility of the applicant.
AS A CONDITION OF VOLUNTEERING, I give permission for Embracing Legacy Incorporated to conduct -background check(s) on me now and as long as I continue to be active with the program, which may include a review of sex offender registries as well as child abuse and criminal history records.
A link for the FEDERAL will be provided upon submission of this application. The LOCAL form will be provided at orientation.
Submission
I hereby affirm that the information provided on this application is true and complete to the best of my knowledge, and agree to have any of the statements checked by Embracing Legacy Incorporated or its representatives. I understand that providing any false or misleading information or any omissions may disqualify me from further consideration as a volunteer and may result in the immediate release of my volunteer duties; even if considered at a later date.
Required
I understand that: •Embracing Legacy strives to create positive matches between its program and youth's needs and the interests and abilities of applying volunteers and that its application and interview process is designed to help make those matches. •Volunteer positions within Embracing Legacy are based on availability, results of local and federal background screenings, satisfactory completion of assigned tasks and the Director of Operation's approval. •All volunteer positions may not be open at the time that I apply to volunteer, and everyone will not qualify for every volunteer position. •If I request a volunteer position that is not open or that I do not qualify for, I will be notified and encouraged to select something else.
Required
Name
Please print your name as final confirmation of submission
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms