Volunteer Application

Thank you for volunteering to serve at Nehemiah Builds After School Ministry. In order to protect the health and safety of our children and youth, each volunteer must complete:

1. This Application.
2. Sexual Abuse Awareness Training via Ministry Safe If you click the blue highlighted words "Ministry Safe" it will open a new window that will allow you to create and account with us.
3. Review of the ministry handbook(s) for your requested area(s) of service.
4. Criminal background check via Ministry Safe.
5. Reference check.
6. Volunteer interview.

Please complete the secure form below to the best of your ability. After you complete this form, you will be contacted with links for the awareness training and an online criminal background check.

We appreciate your support of our vetting process. The safety and wellbeing of our children is our very high priority.

*Staff and all volunteers need to update their background checks and complete the safety training every 2 years.

First Name

This address will receive a confirmation email

Phone

Address

Marital Status

Single Married Separated Divorced Widowed Other

Gender

Male Female Other

Potential Day you might be available to serve. Please check all that apply

Monday Tuesday Wednesday Thursday Friday Field Trip Chaperone

Frequency you are available Weekly Bi-Weekly Other

Please select all areas where you might be interested in serving.

Reading with or to a child Homework assistance Meal Prep Donating Meals Field Trip Chaperone Bus- Pick Up

How long have you lived at your current address?

List all other cities and states where you have lived as an adult:

Please list all previous volunteer work or employment involving children or students (List each organization’s name and address, type of work, dates, and a contact person familiar with your work there.

List any talents, vocations, preparation, training or other experiences that have equipped you to work with children or students:

Each applicant must submit the names and phone numbers of at least one professional reference, one personal reference, and one family member. Additional professional references may be submitted if deemed helpful by the applicant in allowing Nehemiah Builds to determine the applicant’s fitness for the volunteer position and qualifications. The professional references should be familiar with the quality of the individual’s work. One of these references should be a person of the opposite sex.

Personal reference (Include their; Name, Email, Address and Telephone number.)

Professional reference (Include their; Name, Email, Address and Telephone number.)

Family member reference (Include their; Name, Email, Address and Telephone number.)

Questionnaire

Because we care for children and desire to protect them, please answer the following questions. We understand that the answers to these questions may be private and deeply personal, and we will protect your privacy in every possible context. It is the position of Nehemiah Builds that we will report suspicions or allegations of child abuse or neglect to relevant state authorities.

Why do you want to work with children or students at the After School Program?

Do you have a preference concerning the age group or sex of children or students with whom you would like to work? If so, what is the basis for this preference?

What is your philosophy concerning re-direction or discipline of children?

When you are unhappy, angry or emotional about a person or circumstance, how do you handle it?

Have you experienced any significant physical or emotional stressors within the past year, such as the loss of a parent, spouse, or child, extreme ill health, or any emotional or physical crisis? If so, please briefly explain.

Have you ever physically or sexually abused a child?

Has someone ever accused you of physically or sexually abusing a child, or molesting a child?

Do you consider yourself to have been physically or sexually abused as a child?

Yes No

We realize this information is potentially sensitive, and it will be kept entirely confidential, where another child’s safety is not negatively impacted by confidentiality. If you answered yes, so please explain:

Release

I authorize Nehemiah Builds to contact all individuals, organizations and references listed on this Volunteer Application Form in order to verify the information I have provided. I agree to release from liability any person or organization providing information related to me, including those persons I have listed as references, as well as contact persons from my previous volunteer work or employment with children.

I specifically authorize Nehemiah Builds to undertake a criminal background check concerning my past. I understand and agree that any information received from the background check and application verification will not be disclosed to me except as required by law, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form.

By electronically signing this form, I certify and affirm that the information I have given on this form is true, complete, and correct in all respects.

Sign by typing your name and the date below

I agree to allow Nehemiah Builds to take pictures that may include volunteers and grant permission for these to be used by Nehemiah Builds and it's project partners to promote the After School Ministry in publications, press articles, promotional material and websites, exclusively for non profit-making purposes.

Yes No

By typing your name as your signature, you are acknowledging that you have denied or accepted the photo consent.

Volunteer Application

Description

Please Fix the Following