RICARES · RICARES Volunteer Application Form 2023/24

Personal Information

Name

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First Name

Last Name

Prefered pronouns

*

She/Her/Hers

He/Him/His

They/Them/Theirs

Other

Date of birth

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(mm/dd/yyyy)

Which language(s) are you able to communicate in?

*

Race?

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Ethnicity

*

Mailing address (If this is a temporary address, please let us know when you move)

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Cell phone number

*

Email

*

Verify Email

*

Preferred communication method

*

Do you hold veteran status?

*

Do you agree to a background check?

*

Availability and Skills

How did you hear about us?

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Word of mouth

Social media

I attended an event

Staff/volunteer/board member

Radio

Podcast

Newspaper

Recovery community

Other

Date Availability

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What days are you available to volunteer with us?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Time Availability

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What times are you available to volunteer with us?

Morning

Afternoon

Evening

Weekends Only

Background: Education

RICARES recognizes that education comes in all forms. This section is to share with us your educational history.

Select the highest level of education you hold

*

Some GED

Completed GED

Some high school

High school diploma

Some college

Associates degree

Undergraduate degree

Graduate degree

Technical or trade school

Please list where you furthered your education:

This can be any college program, technical training, and formal or informal education.

Do you have any formal qualifications or training you would like us to know about?

Enter any certifications you feel are relevant.

In need of community service hours? Please share the exact amount below.

Looking to Become an Intern? Please Share your school name, year of studies and major

Background: What makes you YOU?

Employment satus

*

Do you have any previous volunteer experiences?

*

If yes, where did you previously volunteer?

Please list the organization, the contact name, a phone number and a brief description of your volunteer responsibilities.

Why do you want to volunteer at RICARES?

*

Are you a person in recovery? Do you have a passion because you have a family member in recovery? Are you an ally? Let us know what about RICARES appeals to you and why.

Is there anything else you would like to tell us?

Pre-Volunteerism Statement

I understand and agree that: 1. The information I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, or any other material, or during any interviews, can be justification of refusal of volunteer placement at RICARES. 2. Any offer of volunteer placement I may receive from RICARES is contingent upon my successful completion of the agency's screening process, including the agency's receiving references that it considers unsatisfactory. 3. I authorize and request that present and former volunteer placement contacts I have listed as references furnish information about my volunteer experience, volunteer performance abilities, and other qualities pertinent to my qualifications for being a volunteer with RICARES. 4. In consideration of my becoming a volunteer, I agree to comply with the policies, rules, regulations, and procedures o the agency.

Discrimination Disclaimer

RICARES prohibits discrimination against volunteer applicants on the basis of race, creed, color, religious opinion or affiliation, national origin, political affiliation, sex, age, physical or mental disability sexual orientation, veteran status, recovery pathway, or recovery identity (public or private), in accordance with applicable federal law and copies with applicable state and local laws prohibiting discrimination in each area where it has operations. RICARES also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Applicants requiring a reasonable accommodation in order to participate in the volunteer interview process are requested to contact our Executive Director, Sandy Valentine, in order to arrange such accommodations. RICARES values diversity and encourages applicants with lived experience to apply.

*

My selection of the "Yes, I agree" field indicates that I agree to the Pre-Volunteerism Statement. My selection of the "No, I don't agree" field indicates that I do not agree to the Pre-Volunteerism Statement.

Signature

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First Name

Last Name

Date

*

(mm/dd/yyyy)