Please complete this application form if you are interested in becoming a SonBridge volunteer. Once you complete the form, click the Continue button at the bottom.


Contact Information


Demographics

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

In the event of an emergency whom should we notify?



References

Please list three non-relative references.



Employment Experience

Please enter employment information.



Skills & Experience

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



Availability

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



Physical/Mental Restrictions


Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Criminal History

Have you ever been convicted of, pled guilty to, or received any form of probation or suspended sentence for any criminal offense (misdemeanors and felonies), excluding minor traffic violations? 


Have you EVER been (formally or informally) accused, charged, convicted, pled guilty, or pled no contest to any act of unlawful sexual conduct, child abuse and/or child sexual abuse?


If yes, describe in full, including dates, criminal offenses, location (city and state) and disposition:



Consent for Confidentiality and Release of Info

I authorize and acknowledge that SonBridge may obtain and use a criminal record that may be in the files of the federal, state, or local criminal justice agency in any state.  A photocopy of this Authorization and Consent for Release of Information shall be valid as the original.  The results of this verification process may be used to determine volunteer eligibility.  All results will be kept CONFIDENTIAL.  The information obtained will not be provided to any parties other than to designated SonBridge personnel.


I understand that, in the course of my volunteer work with SonBridge, I may have access to or hear about confidential or sensitive information and that it is my responsibility not to reveal this information to others outside of SonBridge except where it specifically pertains to performing my duties as a volunteer. 


In addition, I agree that SonBridge may use my name and any photographs and/or video of me for publicity or promotional purposes without liability or obligation to me.



Agreements

I understand and agree that submitting this application form does not automatically register me as a SonBridge volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


By submitting this form, I attest that the information I have provided on the form is true and accurate.