Please complete this application form if you are interested in becoming a Candlelighters Childhood Cancer Foundation of Nevada volunteer. Once you complete the form, click the Continue button at the bottom.


Name and address


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.



Languages

Please share any languages you speak in addition to English



How did you find us?

Why are you interested in volunteering with Candlelighters? How did you first hear about us?



Emergency Contact

Candlelighters prioritizes the health and safety of our volunteers. Please include at least one person we can contact in case of an emergency.



Previous volunteer experience

Please list one person we may use as a reference. A volunteer reference is preferred, but a work or social reference is an allowable substitution



Certifications and Credentials

Please list any certifications, or other relevant qualifications (ie first aid, CPR, etc)



Skills

Please check the relevant skills



Preferred area of interest

Please check which types of opportunities you are interested in volunteering



Specific Events

Please check which of our signature events you are interested in volunteering



Are your service hours required to be verified?

If so please list the organization that your service hours are for (ie name of school or organization)



Confidentiality Agreement

I understand and agree that:

•I must hold information on Candlelighters Childhood Cancer Foundation (CL) clients in confidence in order to protect the integrity of the staff, children and families of CL.


•I am aware of my responsibilities to protect client information when engaged in the collection, handling or dissemination of such information.


•The collection of any client data, whether by direct interview, observation, review of documents or staff conferences, shall be conducted in a setting which provides maximum privacy and protects the information from unauthorized individuals.


•I am not authorized to add, delete, remove, or change client information contained in records, either active or non-active outside the normal realm of my job function.


•All information regarding clients is to be kept strictly confidential. I agree that I will not discuss this information with anyone not directly involved in client service. I will handle all paperwork and forms with proper consideration so that no information is accidentally observed by or released to non-agency personnel.


•I understand that failure to follow the above guidelines regarding confidentiality may result in immediate dismissal from the program.


• I will not place on any public electronic site or social media any pictures taken or names of our children without permission from their guardian.


•I will not use the name or logo for Candlelighters Childhood Cancer Foundation in any way on a public electronic site or personal web page such as Facebook, Instagram, and You Tube in such a way that indicates that the site is sponsored by CL.


•I will not host activities for CL children individually or in groups without the knowledge or permission of Candlelighters.


•I will not use the name Candlelighters Childhood Cancer Foundation of Nevada in any way to promote an activity or imply sponsorship without written permission from CL.