Thank you for your interest in joining us in our life-changing work!


We are happy and excited for you to join our team. We are on a mission to empower children, teens, and adults with intellectual and developmental disabilities to achieve their full potential by strengthening families and encouraging personal choices, abilities, and interests.


We are so glad that you are interested in volunteering with us and want to bring you onboard as quickly and easily as possible. In order to volunteer with The Arc Westchester, you will need to fill out a few forms as regulated by New York State and The Arc Westchester Agency. Once you finish filling out this form, simply press submit.


If you have any questions, comments, or concerns at any point, please feel free to reach out to me and I will be happy to assist you. I look forward to working with you.


All the best,

Todd Bazzini

Director of Volunteer Services and Fund Development

TBazzini@arcwestchester.org

914-495-4556


Name and address

Please fill out the information below to the best of your ability. This information will help us find the best fit for you within our organization. We appreciate your desire to volunteer at Arc Westchester and look forward to working with you.



Emergency Contact

Please provide an emergency contact.



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.



Availability

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



Email Preferences

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 Background Information

This section does not apply to convictions which have been expunged, sealed, pardoned, or otherwise exonerated or eradicated, or related to a youthful offender conviction or violation. A conviction record will not necessarily be a bar to volunteer placement. A conviction which is substantially related to the functions or qualifications of the position(s) may be taken into consideration.



References

Please provide two references with at least one being professional (ie. a boss, teacher, professor, etc).



Volunteer Agreement

The Arc Westchester may conduct investigations, including but not limited to those relating to prior education, volunteer services, employment history, record of convictions, pending trial status, and driving record. I understand that it is the policy of The Arc Westchester to endeavor to provide the maximum protection and safety for those persons receiving services from the agency and I may need to provide information, statements, and fingerprints pursuant of the chapter requirements and OPWDD (Office for Persons with Developmental Disabilities) regulations in order for a criminal background check to be conducted through DCJS (Division of Criminal Justice Services). It is the policy of DCJS that upon completion of the criminal background check, I will be informed of the procedures necessary to obtain, review, or seek correction of my criminal history report.


Volunteers with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment or volunteer placement opportunity without imposing undue hardship on The Arc Westchester. Please inform the agency’s Human Resource department if you need assistance completing any forms or to otherwise participate in the application process.


• I have read this document and have disclosed all information that is relevant and should be considered applicable to my volunteer application.


• I expressly understand and agree that, if placed as a volunteer, my volunteer placement, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (the agency or me) without prior notice to the other.


• I understand that if it is reasonably anticipated that I will have direct contact with our individuals, family care providers, and approved substitute/respite providers that I shall complete a TB test.


• I certify, under penalty of perjury, that my Volunteer Application is true and complete, and I understand that any falsification or omission of information may result in denial or termination of volunteer placement.


BY CHECKING BELOW, I AFFIRM THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.