The Salvation Army of Durham Volunteer Application
Thank you for taking the time and showing interest in serving alongside us as we work to make Durham a better place!
Name *
First, Last
Your answer
Date of Birth *
Must be at least 18 years old, or accompanied by a parent/guardian
MM
/
DD
/
YYYY
Address *
Mailing Address, City, State Zip
Your answer
Primary Phone *
Your answer
Email Address *
Your answer
Drivers License State of Issue *
Your answer
Volunteer Preference *
Required
Reason for Serving: *
Do you have any commitments to another company that might affect your volunteer work with us, including confidentiality, non-disclosure, or non-competition agreements? *
If you answered yes to the above question, please explain: *
If you answered no to the above question, type "N/A"
Your answer
What type of volunteer commitment are you interested in? *
Example: 1 year, 1 semester, 3 months, etc.
Your answer
Summarize any special skills, licenses, certificates, and/or characteristics of yourself that might qualify you as being able to perform job-related functions for the position for which you are applying: *
Type "N/A" if you have no experience to add.
Your answer
Have you ever been convicted of a felony? *
Within the last two years, have you been convicted of a misdemeanor that resulted in imprisonment? *
Within the last two years, have you been convicted of a misdemeanor that resulted in imprisonment? *
If yes to either, please explain: *
Note: A conviction will not necessarily disqualify you from the position requested. If you answered no to the above question, type "N/A"
Your answer
Have you previously applied for a volunteer position here? *
List the names and telephone numbers of two references that are NOT related to you: *
Your answer
If you are considered for a volunteer position with The Salvation Army, you may be asked for your authorization to run a background check and/or credit check. Would you be willing to authorize this? *
Note: Checking "yes" does not constitute authorization to run a background investigation, it only says that you would be willing to sign such authorization forms.
"I certify that the information contained in this application is true and complete. I authorize investigation of all statements contained in this application and understand that any false or misleading statements or material omissions are cause for my inability to volunteer on behalf of The Salvation Army. I hereby authorize former and present employers/volunteer organizations, except as I have otherwise indicated on this application, as well as physician, references, and other sources to provide or verify any information that they may have regarding me, my employment, and/or volunteer service with them to The Salvation Army and release them from any liability arising from the furnishing of any employment/volunteer information. I further recognize that The Salvation Army is a church and agree that I will do nothing to undermine its religious mission." *
"I hereby irrevocable grant to The Salvation Army, its successors and assigns, its agents and those by whom it is commissioned, the absolute, unrestricted and unlimited license, right, permission, and consent to use and reuse, disseminate, copyright, print, reproduce, publish and republish, for any and all trade purposes or commercial or other advertising or public purposes, and in any and all advertising, publicity, display, publication or media, my name, signature and likeness, and any portraits, pictures, photographic prints or other representations of me, or in which I may appear, or any reproductions or sketches thereof or parts thereof, photographic or otherwise, with such additions, deletions, alterations, or changes therein as you in your discretion may make, either separately or together with my name or a fictitious name, or the name of another person, with or without any statements or testimonials made by me, or authorized by me which you may, in your discretion, prepare for use in connection therewith. I warrant that I have not limited or restricted the use of my name or photograph to the use of any organization or person. I hereby grant unrestricted use of audio tracks or text by The Salvation Army for such purposes as The Salvation Army may deem appropriate. I hereby release and discharge The Salvation Army, its successors, assigns and agents from any and all claims and demands arising out of or in connection with the use of any of the forgoing, including any claims for defamation, invasion of privacy, or violation of any statutory right." *
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