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Volunteer Application — One Another Community

Thank you for your interest in volunteering with 1 Another Community — Empowering Youth. Strengthening Communities. Please complete this form in full. All information is kept confidential and used solely for volunteer placement and screening purposes.

Personal Information

Full Legal Name

Preferred Name

Date of Birth

Phone Number

Email Address

Home Address

City

State / ZIP

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Availability

Which days are you generally available to volunteer?

Approximate hours available per week

Preferred start date

Volunteer Interest & Experience

Which area(s) are you interested in volunteering for? (check all that apply)

Relevant skills, certifications, or professional background

Please briefly describe any prior experience working with youth or young adults

Why do you want to volunteer with 1 Another Community?

References

Please provide two references who can speak to your character and/or experience working with others (not family members).

Reference 1 — Name

Reference 1 — Relationship

Reference 1 — Phone

Reference 1 — Email

Reference 2 — Name

Reference 2 — Relationship

Reference 2 — Phone

Reference 2 — Email

Background Check Authorization

Because 1 Another Community serves youth and young adults, all volunteers who will have direct or recurring contact with program participants are required to complete a criminal background check prior to beginning service, consistent with our Youth Protection Policy.
By signing below, I authorize 1 Another Community to conduct a background check as part of the volunteer screening process. I understand that providing false information on this application may result in disqualification from volunteering.

Applicant Signature (Background Check Authorization)

Signature

Date

Code of Conduct & Youth Protection Acknowledgment

I understand that, if accepted as a volunteer, I will be required to review and follow the organization's Code of Conduct and Youth Protection Policy, including (but not limited to):

Please check each item to acknowledge

Agreement

Applicant Signature (Code of Conduct Acknowledgment)

Signature

Date