Volunteer Application for La Posadada Home



Intern/Volunteer Application for La Posada Home

Contact Information Today’s Date ___/___/______

|Name | |

|Street Address | |

|City, State, Zip Code | |

|Phone Number | |

|Other phone # | |

|E-mail Address | |

Intern/Volunteer Completion and Date

Hours Needed _______hrs from (UTEP, UOP, EPCC, other) _____________________

By ____/____/_____

Availability

During which days and hours are you available for volunteer assignments?

|Mon. Tues. Wed. Thurs. Fri. Sat. Sun. |

| |

Interests

Tell us in which areas you are interested in volunteering.

|___Internship Field of Study(ex. Social Work, Human Services, Education, etc)_____________ |

| |

|Graduation Date___/___/_____ Degree(ex. Bachelor’s, Master’s, PhD, etc.)________________ |

|___Tutoring ___Fundraising/Phone Bank/Deliveries |

|___Administration/Office/Clerical ___ Events |

|___Casework Observation & Assistance ___Maintenance (Front/Backyard Work |

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

| |

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| |

| |

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Office Use only----------Start Date / / ----- Passed BC yes/no---- Completed yes/no

Previous Volunteer Experience

Summarize your previous volunteer experience

| |

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Person to Notify in Case of Emergency

|Name | |

|Street Address | |

|City, State, Zip Code | |

|Home Phone | |

|Work Phone | |

|E-Mail Address | |

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. If under 18 years old a parent/guardian signature is required.

|Name (printed) |Name (Parent/Guardian) |

|Signature |Signature |

|Date | / /2011 |

Our policy

|It is policy of this organization to provide equal opportunities without regard to race, color, religions, national origin, gender,|

|sexual preference, age, or disability. |

| |

|***Thank you for your interest in La Posada Home, and completing this application form for us. |

Fraternization Policy

As stated on the Intern and Volunteer Agreement, La Posada Home staff expects volunteers to demonstrate the responsibility, respect, and confidentiality of the residents. At no point, will La Posada Home accept any fraternization between the volunteer and the residents.

*Examples include, giving away contact information to residents, meeting them somewhere else other than the Posada Home, making future plans for get-togethers, etc.

*If for any reason there is any suspicion of fraternization between the volunteer and a resident, the volunteer will have a meeting with the Volunteer Coordinator or might be asked to not come back. This will be considered a Failure or Incompletion and it will be reported to volunteer’s coordinator.

*Please keep in mind that we are extremely grateful for your interest in our shelter. Our best intentions are for the success of our residents and YOUR success of completion of your hours with an experience of participating as a good community citizen by bettering the lives of others in need.

*By signing the applicant understands the Fraternization Policy at La Posada Home.

_________________________________________

Signature Date

Confidentiality Agreement

1. I agree that any written information that has been disclosed to me as “confidential” during my term will remain in the strictest confidence.

2. I agree that all “confidential” material that has been given to me as a result of my membership in the board or committee will be maintained, and when necessary disposed of in a secure and confidential manner.

3. I agree not to publicize and of the confidential aspects of my work rally or by written word or any other medium of communication.

4. I agree to exercise due care to ensure that any information that I may give to others in the course of my term will be given only to persons I believe are entitled to receive such information.

5. I confirm that I have read the above statements and agree with them. I will adhere to all confidential requirements contained in this agreement or as otherwise directed to me in writing by La Posada Home, Inc. during my term.

Signed at the La Posada Home, Inc. this day of

Name: _______________________

Date: _____/______/20____

Code of Ethics

La Posada Home, Inc. expects all Members to adhere to the Code of Ethics during their term of membership.

Confidentiality Agreement

All Members will be expected to enter into a Confidentiality Agreement.

Personal Property

Members are responsible for the safety and security of all their own personal property and possessions.

Identification

Members will use official identification provided by the La Posada Home, Inc.

Code of Ethics

As a volunteer appointed by La Posada Home, Inc. I agree to adhere to the Code of Ethics during my term as follows:

I pledge to provide my time and as a volunteer in the best interest for the best interest for the La Posada home, Inc.

I pledge to place honesty and integrity above all else and to promote the La Posada Home, Inc.

I pledge to comply with all written policies and guidelines that have been provided relevant to the board or committee on which I will serve.

I pledge to maintain an equitable, honorable and cooperative relationship with La Posada Home, Inc. in matters relating to the board or committee activities.

5. I pledge that my position as a volunteer will not be used to grant special privileges to any person or group, and I will avoid all other conflicts of interest which may arise from my position as a volunteer.

I pledge that my position as a volunteer will not be used for business or personal benefit or gain.

Signed at the La Posada Home, Inc. this day of

Date:______/______/20____

Name:_____________________________

Signature:__________________________

Intern and Volunteer Agreement

Welcome to La Posada Home, Inc. We are pleased that you have decided to volunteer your time with us as part of a partnership between________________(University, College), and _________________(Student), and La Posada. Helping our community can be an extremely rewarding and invaluable learning experience. There are a few points that you need to read and be aware of before making the commitment to work at La Posada.

Program Outline

1. It is required that volunteers participate in a training session prior to the initiation of the volunteer’s tenure at the shelter.

2. The natures of the shelter’s programs are very serious. Families have come from difficult situations to seek our assistance. While working at La Posada, the staff expects volunteers to demonstrate the responsibility, respect, and confidentiality that the position requires.

3. While working at La Posada, volunteers will be assigned a specific task or project so that tangible or measurable progress can be assessed. This is done to ensure that the volunteer and the shelter’s time and resources are used in an efficient and productive manner.

Attendance

1. The staff asks that you provide a schedule of the hours you are available and days you are willing to work. The best staff is willing to accommodate almost any schedule, but expect volunteers to comply with the schedule once they have agreed to it.

2. Should there be any circumstances where the volunteer will be absent or late, we ask that you please be considerate and call with enough time BEFORE our scheduled volunteer time.

3. Should the volunteer not give advanced notice before an absence or excessive tardiness, their placement at the shelter will be suspended until an evaluation meeting is held between the volunteer and the executive director.

We want to thank you for your desire to work with us. If you have any questions or need clarification, please do not hesitate to ask.

Both signing parties have read and understood the terms of the Volunteer Agreement.

________________________ _______________________

Volunteer La Posada Home, Inc. Staff

__________________

Date

Volunteering at La Posada Home, Inc.

Policies and guidelines for the success and protection of Volunteers and La Posada Home, Inc.

Opportunities

Volunteering at La Posada Home, Inc. offers opportunities for:

La Posada Home, Inc. and volunteers to collaborate.

La Posada Home, Inc. to benefit from the value of voluntary and community service. Volunteers to develop civic pride in the giving of their time and expertise.

Guiding Principles

Participation

La Posada Home, Inc. encourages citizens to volunteer and contribute their expertise to improve the welfare of the clients of the Home.

Qualified and Dedicated People

La Posada Home, Inc. invites as volunteers, citizens with skills and qualifications to share both their time and talent freely for the benefit of the clients of La Posada Home…

Recognized Contributions

La Posada Home, Inc. appreciates commitment and time given by their Volunteers and recognizes their valuable contributions and the spirit in which they are given.

Definition and Categories

Volunteer Definition

A person who, of their own free will, provides service to the Home while under the general supervision of La Posada Home while under the general supervision of La Posada Home, Inc. or as a member of a board or committee appointed by La Posada Home, Inc. without compensation or other consideration.

Categories

Individual volunteers

Volunteer groups

Performance

The volunteer will be encouraged to complete their duties and/or attend meetings on a regular basis, for which the volunteer freely gives their time and expertise to the Home without financial compensation. The volunteer will be encouraged to participate in additional duties or committee work where the volunteer may have special interests and qualifications.

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