Thank you for your interest in volunteering for the Gathering Place. Our mission is to support, educate and empower individuals and families currently coping with the impact of cancer in their lives through programs and services provided free of charge.

 Please complete this application form to receive consideration for a volunteer position. Once you complete the form, click the Continue button at the bottom.

After we receive your application, we will contact you and arrange for an interview in person with our Volunteer Services Manager.  All information on this form will be kept confidential and will help us find the perfect volunteer project for you!


Personal Data


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Emergency Contact


Education


Volunteer Areas of Interest

Please review the opportunity listing and provide your top three areas of interest.



Prior Volunteer and Work Experience

List any recent volunteer and work experience you may have. 



Availability

Please indicate the days and times you are usually available to volunteer.



Skills and Talents

In which of these areas do you feel you have moderate to excellent skill or talent?  Check all that apply.



Reference

Please provide  the name, phone number and email address of someone who can talk about your work experience, work habits, character and skills.  



Background Check Acknowledgement and Authorization

 



Signature

*I understand that the nature of volunteer activities that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I hereby assume full and complete responsibility for any personal injury and/or property damage that I sustain or cause during my participation as a volunteer. In addition, I hereby release, hold harmless and covenant not to file suit against The Gathering Place (also referred to as TGP) and any of their employees, volunteers, partners agents, sponsors, board members and successors from any and all loss, liability or claims I may have arising out of my service as a volunteer.  


*I also understand that as a volunteer, I may become privy to confidential information about The Gathering Place. I agree to maintain confidentiality about The Gathering Place's internal procedures, business operation, and personnel information not otherwise publicly disclosed by TGP. I will not use any confidential information in any manner that would be detrimental to TGP and I will avoid any actions that might impair the reputation of The Gathering Place.


*I also agree to keep confidential any information about a participant of The Gathering Place including but not limited to: name, address, contact information, phone number, email, diagnosis, prognosis, treatment, donations, relationships or attendance at TGP.


*I agree to immediately seek the assistance of a staff member if I believe the safety of a particular participant or participant's family or friend is in danger, or if their behavior or words concern me.


*I agree to uphold the mission of The Gathering Place.


*I agree to maintain the values, skills, and sensitivity emphasized in The Gathering Place's Principles of Action during contact with TGP participants, volunteers or staff.


*I agree to be punctual and conscientious and regard all participants with dignity and worth, even if their values are different from mine.


*I agree to sign in and out after each shift.*


*I agree to notify my supervisor or department where I volunteer if I am unable to come in as scheduled.


*I understand that the Volunteer Service Department reserves the right to terminate my volunteer status as a result of:

  (a) failure to comply with organizational policies, rules and regulations

  (b) continuing absences without prior notification

  (c) unsatisfactory attitude, work or appearance, or:

  (d) any other circumstances which in the judgment of the Volunteer Services Manager, would make my continued service as a volunteer contrary to the best interests of the organization.


Checking the box below confirms you are familiar with the policies and information found in the Volunteer Services Orientation Handbook, understand their importance to The Gathering Place and its participants and know what your conduct should be according to the standard of those policies. 


*I certify the statements made in this application are true and correct, and I understand that misrepresentation and/or withholding of information may result in the rejection of this application or my discharge if discovered after volunteer service begins. I understand this information may be disclosed to any party with legal and proper interest, and I release the agency from liability whatsoever for supplying such information. I understand that TGP may not verify volunteer service hours unless I successfully fulfill my volunteer commitment.


Checking the box below confirms that you have read each of the above conditions and agree to be bound by them.