To express your interest in becoming a volunteer mentor, please complete this application and the Youth Mentoring Supervisor will reach out to you shortly.


Contact Information


Have you ever received help from a CCSN program?

Please let us know if you are currently receiving or have received assistance from a program at Catholic Charities of Southern Nevada (example: eaten at the Community Meal, received monthly food from the Food Pantry, stayed at the Shelter, etc.)



Emergency Contact

In the event of an emergency whom should we notify?



Interest and Experience

In a few sentences, please describe your interest in becoming a Youth Mentor Volunteer and your previous volunteer experiences (if any) including where you volunteered and your responsibilities.



Availability

Please indicate your availability with volunteering:


Monday through Friday - please choose available times between 3:00PM and 7:00PM

Saturday and Sunday - please choose available times between 9:00AM and 7:00PM




Commitment

Our volunteers must be able to commit to a full year of mentoring.



If 'No', please tell us why below:

Please explain any conflicts or considerations.



Volunteer Requirements

All applicants will be required to undergo a background check and screening.

By submitting this form, you are consenting Catholic Charities of Southern Nevada running a formal background check.



Statement of Confidentiality

Catholic Charities of Southern Nevada (CCSN) requires that strict confidentiality be maintained with respect to all information obtained by volunteers concerning the organization, as well as the clients and others they serve. The volunteer shall not disclose any information obtained in the course of his/her volunteer placement to any third parties without prior written consent from CCSN. This includes but is not limited to information pertaining to financial status and operations such as budget information, donations of money or gifts in kind, salary information, and information pertaining to clients, staff or other volunteers. Failure to comply with the confidentially policies of the organization may result in disciplinary actions, including but not limited to the dismissal of the volunteer. I understand the above and agree to uphold the confidentiality of these matters both during and following my volunteer service with CCSN.



Release of Liability

I understand in my connection with my voluntary involvement with Catholic Charities of Southern Nevada (CCSN) that any work performed as a volunteer is at the volunteer’s own risk for injury, accident, disease or illness to himself or herself. CCSN, its Board of Trustees, Executives and Employees are held harmless for any acts performed by its volunteers. I hereby agree to release and discharge CCSN, its officers, and directors, employees, agents, and volunteers from all claims, suits, demands, and actions for injuries sustained to my person and/or property as a result of my involvement in such activities; including any claims based on negligence. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release. In addition, I agree that I will comply with all applicable federal, state, and local laws while serving as a volunteer for CCSN.



Photo Consent

I agree to allow CCSN unrestricted use of photographs taken of me and/or my child in the course of participation in activities sponsored by CCSN or a local participating agency of the CCSN network.

I understand that CCSN intends to use such photographs only in connection with official CCSN publications and documents.

To respect the dignity and privacy of CCSN guests, I agree to refrain from photographing any person using CCSN services.



Client Consideration

In the course of spending time at Catholic Charities of Southern Nevada (CCSN), you will meet a rich variety of people, including volunteers, clients, and CCSN employees. We encourage and support positive interactions among these groups while on our campus or other CCSN work locations – this is part of what makes spending time here a great experience! However, due to the vulnerability of our client base and out of an abundance of caution, we do not permit outside fraternization (e.g., romantic relationships, side work, etc.) beyond the course and scope of the services you are providing. Please note that CCSN does not make any representations about individual volunteers or clients, and does not endorse any further relationships outside of the agency that are not organized by CCSN.



I Agree

I understand and agree that submitting this application form does not automatically register me as a Catholic Charities of Southern Nevada 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 checking "I Agree" and submitting this form, I attest that the information I have provided on the form is true and accurate and that I agree with all terms and conditions listed above.