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DAYSPRING VILLA VOLUNTEER APPLICATION FORM
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Are you a Christian?
Where do you attend church?
References (list two that are not related to you)
First and last
First and last
Have you been convicted of crime?
If yes, please explain.
Highest level of education completed
Special skills, training and certifications
Day(s) preferred to volunteer
Times preferred to volunteer
Tell us about yourself, primary interests, hobbies:
Why are you interested volunteering with our agency specifically?
Pertinent health information
Volunteer positions are subject to a background check
In signing this application, you are giving authorization for DaySpring Villa to investigate your background, and take a picture of your person that will be kept in your volunteer file. Thank you.
Are you over 18 years of age?
Must be accompanied by an adult if under 18 years.
Adult volunteer signature
STATEMENT OF CONFIDENTIALITY
As a staff member of Day Spring Villa, or a student, volunteer, or speaker affiliated with DaySpring Villa, I will not divulge any information that comes to me through the carrying out of my assigned duties, program, or assignment while at this facility. This shall include: Not discussing any specific guest, or any information pertaining to any specific guest, with anyone (even including my own family) who is not directly working with said guest. Not discussing information pertaining to any guest any place it can be overheard by anyone not directly working with said guest, especially other guests. Not mentioning any guest's name or admitting, directly or indirectly, any person named is a guest, except to those authorized to have this information. Not describing any behavior which I have observed, heard, or learned through my relationship as a staff/student/volunteer/speaker affiliated with DaySpring Villa, except to those authorized to have this information. I will not contact any individual or agency outside this facility to get personal information about an individual unless a Release of Information Form has been signed by the guest or guardian of the guest.
YOUR NAME BELOW IS YOUR SIGNATURE OF AGREEMENT
This field is for validation purposes and should be left unchanged.
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