TO:Potential Volunteers

FROM:Lynne Blevins, Executive Director

RE:Volunteer ApplicationProcess

WearesoexcitedthatyouareinterestedinparticipatinginourMinistry!Landscaping,painting,cleaning,tutoringandmanyotherpossibilitiesareavailableatvarioustimesthroughouttheyearasavolunteertoHappyAcres!Aswithanyrole,certainareasofhelpare not neededatalltimesoftheyear,however,thereis usually plenty of opportunitytobeofvitalhelpinthe areasyouareskilled!

Aswithmostorganizationsbeforeyoucanbeginvolunteeringthereisanapplicationandbackgroundchecknecessary.Pleasecompletethefollowingsteps,andwe'llbeintouchwithyouaboutthemanyopportunitieswehaveforvolunteers!

VolunteerApplicationProcess:

CompleteandreturntheApplicationPacketandReturnthreeCompletedReferences

InterviewwithVolunteerCoordinator

FingerprintCard--Requiredwhenvolunteering intheschool,orasasessioninstructorand/orchaperoneinthehorseprogram.

•Thefeetoobtainafingerprintcardis$65,plusanadditional

$12tohavefingerprintstaken.Anyhelpyoucangivewiththisfeeisappreciated.Thiswouldbeconsideredatax-deductiblelecontribution.

Thankyoufor yourinterestinbeingapartofourministry team!

Sincerely,

Lynne Blevins,ExecutiveDirector

HappyAcresChildren'sHome, Inc

YourNameApplicationDate Address

CityPhone

Zip

EmailAddress(Pleaseprintlegibly)

Residence:YearAroundSeasonal(ArrivalDateDepartDate_

PERSONTOCONTACTINCASEOFEMERGENCY

Name ------Relationship

Address------City------StateZip_

------

NOTE: Youmustexcludeyourselffromanydutiesrequestedofyouthatyouarephysicallyunabletoperform.

NameofSchool

IfyouareaSERVICELEARNINGSTUDENT,pleasecompletethefollowing:

------Course

NameofProfessor------PhoneNumber------NumberofHoursRequiredWhatisrequiredbyyourprofessoruponcompletionofyourservicelearninghours?__ _

VOLUNTEERINTERESTS

1.Dining(Prepfood,organizesupplies.washdishes, generalcleaning)FoodHandler'sCard?_

2. Maintenance(Electrical,mechanical, plumbing,painting,construction,landscaping)

3.Office(Answerphones,forwardcalls.scheduletoursandpickups,greetguests,miscellaneouscleaning)

4. School(Classroomassistant,tutoror homeworkaide,electiveinstructorand/or assistant)

5.SpecialEvents(RaiseFunds)

**TheseareasmayrequireaFingerprintClearanceCard.Areyouwillingtopayall;orpartof the cost?

Days/HoursAvailable(Selectdaysandgivespecifichoursyouwillbeavailable)

_MorningAfternoonAllDay

MonTuesWedThursFriday_SaturdaySunday

NameEmail

Pleaseshareyourhobbiesandinterestsaswellasareasinwhichyouhaveeducational,professional,orlifeexperiencesinwhichyoudesiretoshareyourskills.Indicateyourskilllevelbyusing:(A)-veryskilled,(B)-moderatelyskilled.

Antiques/Collectables

Art

CalligraphyCarpentryClericalSkills

ComputerSkills(Mac,PC,Software)Cooking

CPR/FirstAidCraftsDecoratingDrama/DanceElectrical

EventPlanning

FloralDesign

FurnitureRepairsand/orBuilding

Gardening

GrantWriting

Landscaping

Math

Mechanics

Music(vocal/Instrumentall)

Organizing

PaintingPhotographyPlumbing

PublicSpeaking

Reading

Sales(Retail,Wholesalele)

ScrapbookingSewing

Typing

Upholstery

Weaving

Writing

Other ------

Experiencewith:(Markallthatapply.)

____Preschoolers_____Junior High School____Elementary School

____Teenagers_____High School____Learning Disabled

WhatdoyoupictureyourselfdoingwhenyouvolunteeratHappyAcresChildren'sHome?

(Pleaseexcludeyourselffromanyactivitiesyoubelievetobephysicallystressfulforyou.)

Additionalinformationorcommentsyouwishtoshare--(Youmayusethisspaceformoredetailsaboutyourspecificskills/interests):

ConfidentialityPolicy

AsavolunteeratHappyAcresChildren'sHome,IunderstandthatImust,inaccordancewithHappy AcresChildren'sHomevolunteerpoliciesandDESregulationsabidebythesamechild confidentialityandprofessionalstandardsaspaidstaff.ContactbetweenthechildandHappyAcresChildren'sHomeisahighlyprivilegedandconfidentialrelationship,anditistheresponsibilityofstaff(paidandunpaid)toholdinabsoluteconfidenceanyandallinformationconcerninga child.

Signature

AllinformationregardingadmittedchildrenofHappyAcresChildren'sHomeofGlendale,Arizona,and/ortheirparents,family,legalguardians,orthosechargedwiththeircare,isconfidentialandshallbetreatedassuch,andshallnotbedivulgedto unauthorized personnel.

Signature

AllinformationregardingemployeesofHappyAcresChildren'sHomeofGlendale,Arizona,and/orfamily,isconfidentialandshallbetreatedassuch,andshallnotbedivulgedtounauthorizedpersonnel.

Signature

EmployeesorvolunteersfoundtobeinviolationofthispolicymayhavetheirrelationshipwithHappyAcrestem1inated.

VolunteerPledge

BelievingthatHappyAcresChildren'sHomehasarealneedofmyservicesasavolunteer,Iwillbepunctualandconscientiousinthefulfillmentofmydutiesandacceptsupervisiongracefully.Iwillconductmyselfwithdignity,courtesy,andconsideration.IwillconsiderasconfidentialallinformationwhichImayheardirectlyconcerningachild,houseparentoranymemberofthestaff,andwillnotseekconfidentialinformationinregardtoachild.Iwilltakeanyproblems,criticismsorsuggestionstotheVolunteerCoordinator.IwillupholdtheChristianMissionCultureandstandardofexcellenceofHappyAcresChildren'sHomeandwillinterpretthemtothecommunityatlarge.

VolunteerDisclaimer

IunderstandthatIparticipateasavolunteeratHappyAcresChildren'sHomeatmyownrisk.Intheeventofaninjury,Ipersonallyacceptresponsibilityforthefullexpenseofmedicalattentionaswellasotherexpensesarisingoutofsuchinjury.Someprojectsmayhaveinherentrisksassociatedwiththem,andIpersonallyacceptresponsibilitytoknowwhatrisksandIwillnotundertakeanyactivitythatmaybetoohighalevelofriskformycapabilities.IfurtheragreetoreleaseandholdHappyAcresChildren'sHome,itsofficers,employeesandunpaidstaffharmlessfromandagainstalllossesfromclaimsorliabilitiesforpersonaldamagesorotherdamagesincurredasaresultofmyparticipationasavolunteer,whetherornottheyresultfromHappyAcresChildren'sHome'snegligence. IunderstandthatIamnotanemployeeofHappyAcresChildren'sHomeandshallnotbeeligiblefor,orcoveredunder,anybenefitprogrammaintainedbytheHappyAcresChildren'sHomeincludingbutnotlimitedtoworker’s compensation, healthinsurance,disability,andbusinesstravelaccidentcoverage.

BysigningbelowIcertifythatIhaveread,understandandagreetocomplywiththeabovestatements.

SignedDate_

REFERENCE

(Applicant:Pleaseincludethree(3)completedreferences withyourapplication)

Applicant Name______Phone ______Date______

Reference Name______Phone ______

Address______

Relationship to Applicant______Number of years known______

1.Whichofthefollowingbestdescribesyourperceptionoftheperson? (Pleasecircleallthatapply)

CooperativeCheerfulLeaderHostileResponsible

AggressiveFollowerPassive

TrustworthyQuiet/ReservedTalkstoomuch

CriticalHelpfulPleasant

BossyOrganizedAnxious

DomineeringOptimistic

Doesn'ttalkmuch

Takesinitiative

Followsdirections

Creative

EnthusiasticDependable

2.Haveyoueverobservedtheapplicantinteractingwithchildren?

Ifyes,pleasecircleallthatapply.Ifno,pleaseskiptothenextquestion.

PatientNurturingFriendlyRespectful

YESNO

Critical

PlayfulYells

PermissiveEnergetic

AbusiveAttentive

Gentle

Controlling

Pleasecircleifyouhaveobservedeitherorbothofthefollowing.

InappropriatelyaffectionateinappropriatelyexpressingangerIfeitherorbotharecircled,pleasedescribewhatyouhaveobserved.

3.Howdoyouratetheapplicanttofollowthroughwithhisorhercommitments?Pleasegivespecificexamples.

4.Have you ever known the person be involved with any of the following? (Please check any that apply)

_____Addictionorabuseof alcohol,prescriptionorillegaldrugs ______Attemptedsuicide_____ Criminalconviction

5.HappyAcresChildren'sHomeisafaith-basedorganizationprovidingaloving,wholesome,Christianhomeforchildren.

Willtheapplicantmodeland supportthetraditionalBiblicalguidelinesfor conduct,relationships,

sexualityandmarriageforkids?Yes

6.Ifyouhaveanyreservationaboutthispersonworkingwithanyofthe followinggroupsofchildren,pleasecircleallthatapply.

Elementary-agedchildrenTeenagersinHighSchool

JuniorHighSchoolagechildrenYourownchild

7.Whatelseisimportantfor HappyAcresChildren'sHometoknowabouttheapplicant,positiveand/ornegative?