Please complete this application form if you are interested in becoming a New Horizons of Southwest Florida 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.


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.


References

Please list two personal references (i.e. people who are not related to you by blood or marriage) or professional references that can us why you will be a great volunteer


Authorization/Request for Criminal Records Check

I HEREBY AUTHORIZE New Horizons of SWFL to request any local, state or federal law enforcement department or agency to release information regarding record of investigations, charges or convictions contained in its files, or in any criminal file maintained on me, whether the file is a local, state or national file, include but not limited to accusations & convictions for crimes committed against minors to the fullest extent permitted by local, state & federal law. I give permission for this information to be shared with those who will help make decisions with respect to my application.


Emergency Contact Information

In case of an emergency, who should we contact?


NEW HORIZONS OF SWFL AGREEMENT

I agree to accept a position as a volunteer for New Horizons of SWFL and in so doing agree to comply with all policies, rules and regulations established. I understand failure to do so may result in my immediate termination as a volunteer.

I understand and acknowledge that I am a volunteer of New Horizons of SWFL and not an employee or independent contractor. In this regard, I have no expectations of receiving compensation of any kind, future employment or employment benefits in exchange for or in connection with my services as a volunteer. I also understand that I am not covered by worker's compensation, unemployment, heath or other insurance provided to employees.

I will not hold New Horizons of SWFL or any other sponsoring or participating organization, church or individuals responsible for any injury or illness that is incurred by me during my volunteer work at any of the programs/events.

I understand and agree that New Horizons of SWFL may use photos and videos taken of me in public relations materials. I hereby release ownership and rights to all photos and videos of me.

I understand that New Horizons of SWFL may terminate the volunteer relationship at any time, with or without prior notice, and for any or no reason. I certify the information I have given in this application is true.

I agree to keep information about New Horizons of SWFL's children and families confidential, and to refer pertinent information to appropriate staff members only.