Volunteer Application

Want to help make meaningful change in the lives of the clients we serve? If you answered yes, then please join us and share your talents and time with in anyone of our 12 programs. Each year our programs provide services to over 3,000 individuals and their families and we couldn’t do it without dedicated and inspiring volunteers like you. Your involvement as a volunteer will help give clients the hope and inspiration they need to get back on their feet.

Ways you can get involved:

Housing

·  Online search assistance

·  Assistance filling out applications

·  Contacting landlords to assist with the search

·  Assistance getting to and from apartments

Job Placement

·  Mock interviewing

·  Resume building

·  Online search assistance

Financial Education

·  Opening and balancing accounts

·  Money management and budgeting

Maintenance/Building Upkeep

·  Fall/Spring clean-up

·  Painting and touch ups

For details on our programs, visit https://www.voamass.org/

All of our potential volunteers working within our programs are required to be at least 18 years of age, complete an application with criminal record check and attend a group or individual information session prior to volunteering. Return completed application to:

Volunteers of America Massachusetts

Attn: Volunteer Coordinator OR EMAIL

441 Centre Street

Jamaica Plain, MA 02130

VOLUNTEER APPLICATION

Full Name: ______Date: ______

Address: ______

City: ______State: ______Zip: ______

Phone: (Home) ______(Work) ______(Cell)______

Email address: ______

In an emergency, please contact:

Name: ______Phone: ______

Relationship: ______

I. About You

Current/Former Occupation:

Previous Employers: ______

Educational Background: ______

Hobbies, skills, interests: ______

______

Previous volunteer experience: ______

______

How will you share your talents with Volunteers of America Massachusetts? Either choose from our list on page 1, or let us know the best way for you to get involved. ______

II. How You Want to Make an Impact

Choose any of the following statements to tell us what you’re interested in. Visit voamass.org for details about our programs.

Group projects, I’m a social butterfly and great at motivating others

Individual projects, I’m focused and self-motivated

I’m interested in research, writing newsletters, or marketing communications

I’m interested in teaching classes, or doing public speaking

I’m interested in Working on committees to coordinate events and activities

I want to work directly with a staff member

I want to help spread the word about Volunteers of America Massachusetts

I want to work with clients, providing services on an ongoing basis

Not sure

II. How You Want to Make an Impact (continued)

People I’m interested in helping:

At-Risk Youth Seniors Veterans Adults in Recovery

Other On-Call/Occasional Projects

Mailing Help Special Events Donor Communications

Long-Term Service Opportunities

Youth Mentoring Tutoring Senior Assisted Living Community Volunteer

Office/ Front-Desk Support

Why do you want to volunteer with Volunteers of America?

______

III. When can you join us?

I am available to volunteer: _____ Morning _____ Afternoon _____ Evening

Days I can volunteer are (Check all that apply):

___Mon. ___Tues. ___Wed. ___Thurs. ___Fri. ___Sat. ___Sun.

How often do you want to volunteer?

Weekly Monthly Occasionally Other: (Please Explain) ______

Special Occasion Volunteering (Check all that apply):

___ I Remember Mama, Mother’s day event (May)

___ Veterans Leadership Dinner (September)

___ Holiday Season (December)

___ Other (please Explain) ______

Would you be interested in hosting a social gathering to support our programs and/or events?

Yes No

Do you have a geographic preference as to where you do volunteer work?

No Yes. Please list preferences ______

Do you have access to transportation, other than public transportation, to get to and from your volunteer work? Yes No

IV. Background Information

Have you ever been convicted of a criminal offense?

No Yes If yes, please explain ______

If you have a disability, list any accommodations you may need:

______

Please list two non-related, professional references that we may contact.

Name______Phone______Relationship______

Name______Phone ______Relationship______

How did you hear about Volunteers of America Massachusetts?

  Volunteer or Staff member The Telephone Directory Radio Ad

  Television Ad Our Website Friend/Relative Other:______

I verify that the above information is true. I understand that any false or misleading information is grounds for denying or terminating my volunteer placement. I further understand that copies of this application will be sent to the Volunteers of America Massachusetts program in which I have indicated interest. The original will be retained in my volunteer personnel file.

______

(Volunteer’s Signature) (Date)

PLEASE RETURN COMPLETED APPLICATION WITH PHOTO ID TO:

Volunteers of America Massachusetts

Attn: Volunteer Coordinator

441 Centre Street

Jamaica Plain, MA 02130

OFFICE USE ONLY

Received Application / CORI Check Complete / Orientation Date / Volunteer Placement

NOTES: ______

Applicant Disclosure Form

So we may evaluate your application properly, please answer all questions carefully and completely in your own handwriting.

Volunteers of America (VOA) has been authorized to perform Criminal Offender Record Information (CORI) checks on applicants for employment. A computer check with the Board of Probation is required for all candidates applying for positions. The information is requested only for the purpose of verifying the information you will be providing concerning any criminal record you have. Conviction of a crime may not be an automatic bar to your employment. All circumstances will be considered in making a decision on you application.

I understand that, in order to afford the highest level of service delivery, VOA seeks to determine that all employees within EOHHS agencies are of the highest integrity. As an applicant for employment, I hereby acknowledge that if I am selected for employment, VOA will review:

§  Criminal Offender Record Information (CORI) and;

§  The Central Registry of Child Abuse / Neglect reports maintained in accordance with M.G.L., Chapter 119, Section 51B (for Department of Social Services, Department of Youth Services, and Office for Children applicants only.)

The following spaces may be used to provide VOA with any information which you feel could assist us in processing the results of the CORI and Central Registry reviews.

______

Signature Date

I do not wish to be considered for employment because I do not want a CORI to be conducted.

Volunteers of America of Massachusetts, Inc. has been certified by the Criminal History Systems Board for access to conviction and pending criminal case data. As a (prospective) volunteer for the position of ______, I understand that a criminal record check will be conducted for conviction and pending criminal case information only and that it will not necessarily disqualify me. The information below is correct to the best of my knowledge.

______

Program Name Applicant/ Employee Signature

APPLICANT/ EMPLOYEE INFORMATION (PLEASE PRINT)

______

LAST NAME FIRST NAME MIDDLE NAME

______

MAIDEN NAME OR ALIAS (IF APPLICABLE) PLACE OF BIRTH

______-______-______

DATE OF BIRTH SOCIAL SECURITY NUMBER MOTHER’S MAIDEN NAME

(Last six digits are required)

FORMER ADDRESSES:______

______

SEX:______HEIGHT:___ft.___in. EYE COLOR:______

STATE DRIVER’S LICENSE NUMBER: ______

***THE ABOVE INFORMATION WAS VERIFIED BY REVIEWING THE FOLLOWING FORM OF GOVERNMENT ISSUED PHOTOGRAPHIC IDENTIFICATION: ______

REQUESTED BY: ______

SIGNATURE OF CORI AUTHORIZED EMPLOYEE

EMPLOYER USE ONLY

DATE SENT:______DATE RETURNED:______

Form in use as of 7/1/05

Volunteers of America Massachusetts

441 Centre Street ● Jamaica Plain, MA 02130 ● Tel: 617-522-8086 ● Fax: 617.522.4533

www.voamass.org