Volunteer Application

Red Clay Dance Company encourages the participation of volunteers who support our Mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you. Thank you for your interest in our organization.

Name

First Name

Last Name

Verify Email

Primary Phone Number *

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date of Birth *

(mm/dd/yyyy)

Date Available to Start *

(mm/dd/yyyy)

Have you volunteered with Red Clay Dance Company Before? *

Yes

Most Recent Volunteer Date

(mm/dd/yyyy)

Professional Skill Set

Please list any special skills

Have you volunteered with another Company? Auxiliary ? Church? *

Yes

Organization

Assignment Coordinator's Name

Organization's Phone Number

Volunteer Responsibilities/Tasks

Length of Volunteer Assignment From (Year/Month) To (Year/Month)

May we contact your Assignment Coordinator/Supervisor for Reference?

Yes

Reference 1

First Name

Last Name

Reference 1 Email

Verify Email

Reference 1 Phone Number

How did you learn about the Volunteer opportunities at Red Clay Dance Company? *

Why do you want to take part in Red Clay Dance Company Volunteer activities? *

Have you ever been terminated or prohibited from any volunteer experience? *

Yes

If you answered YES Please Explain *

Have you ever been convicted of any criminal offenses other than the following: Minor traffic violation fines $500.00 or less or offenses settled in juvenile court or under Welfare Youth Offender law? *

Yes

If you answered YES Please Explain *

Volunteer Code of Ethics

Child Abuse *

We make an active effort to prevent child abuse, which may include but not limited to the following: A Background Check and References from past employers and volunteer organizations. When practical, volunteers should not put themselves in a position in which they are alone with a single child and cannot be observed by others. Allegations or suspicions of child abuse are taken seriously and are reported to police and/or state agencies for investigation. Participant Confidentiality Volunteers are required to keep the name of student and families in our program's confidential. I have been informed of Red Clay Dance Company's position regarding child abuse and have read and understand that portion of my Volunteer Application and Agreement titles Red Clay Dance Company Position on the Nationwide Problem of Child Abuse. I understand that in addition to the state mandate. Red Clay Dance Company will, among other things conduct a thorough check of my Background. I understand that allegations or suspicions of child abuse are taken seriously by Red Clay Dance Company and will be reported to police and/or state agencies for investigation and Red Clay Dance will fully cooperate with any related investigations and will pursue the prosecution of child abusers to the fullest extent screening. I still desire consideration as a volunteer for Red Clay Dance Company. I have read and understood the forging Policies of Red Clay Dance Company. By selecting yes, I hereby agree to adhere to said Policy, Rules and Code of Ethics.

Yes

As Red Clay Dance Company Volunteer, I agree to the following: *

1. That I will complete a Volunteer Orientation session 2. That I will read and understand Red Clay Dance Company Rules and Policies for Volunteers. 3. That I agree to uphold the Red Clay Dance Company's strict confidentiality policy by not revealing any names or any other information pertaining to the participants, families, and staff and/or representatives thereof that may indicate identities of individuals or families. I understand that the Red Clay Dance Company will or has provided the following services to me: 4. A complete and informative Orientation Sessions about my role as Volunteer. 5. A well-trained and knowledgeable Staff member to assist me in performing my Volunteer assignments. 6. During the course of volunteering, I will be given opportunities to provide suggestions and Feedback on improving programming and volunteer services.

Yes

Affirmation *

I hereby affirm that my answers to questions on the application are true and correct and that I have not knowingly withheld any fact or circumstances that would, if disclosed, affect my application unfavorably. I understand that any false information submitted in this application is cause for denial of this application or termination of any volunteer services regardless of when or how discovered and that my service is subject to government regulations and Red Clay Dance Company’s review and acceptance of fingerprint record and proof of minimum age. By selecting yes, I hereby acknowledge that I have read and understood the above statements and I voluntarily sign this affirmation.

Yes