Affirmations LGBT Center · Center Application

Volunteers can become Facilitators and mediate support & discussion groups, work as Adult Allies in our Youth Program, join any and all of our various committees, attend outreach activities and events and assist the Center by staffing The Welcome and Resource Desk, our one-stop shop for all things LGBTQ+.

All prospective volunteers who pass the background check will be contacted to confirm their selected RSVP date for Volunteer & Adult Ally Training.

All information is Confidential except in an emergency.

Interns: Please complete the following requirements as directed in your Acceptance Email.

Name

First Name

Last Name

Email

*

Verify Email

*

Primary Phone Number

*

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Select your preferred Volunteer Role:

*

Gender Pronouns:

*

These are the pronouns you prefer that other people use when referring to you. For example, if you use she/her/hers pronouns, we would say "She applied to be a counseling intern"

Emergency Contact

*

First Name

Last Name

Relationship to Applicant

*

Contact Phone Number

*

Alternative Phone Number

Available Volunteer Opportunities

Please select all that apply!

Welcome & Resource Desk

Youth Drop-In

Group Facilitation

Building Maintenance/Operations

How did you hear about Affirmations? Be specific.

*

Do you have any skills/interests you would like to use at the Center?

*

Background Check

Affirmations Federal ID# 38-2882823

Suspected Identity theft will be reported.
Uploading image of State Issued ID/Driver’s License grants consent to Affirmations’ to perform Background Check.

Michigan State Police
Central Records Division
Freedom of Information - Name Inquiries
7150 Harris Drive
Lansing, MI 48193

Copy of State ID/Driver’s License

*

Please upload a jpeg copy of your ID.

First, Middle and Last Name

*

Date of Birth

*

Other Name(s) Used

Address

*

Best Practices

Click here to access of our resource guides for download.

To Sign: Enter First & Last Name.

Non-Disclosure Agreement

Click here to access.

To Sign: Enter First & Last Name.

Confidentiality Agreement Signature

*

I have received and read a copy of the Affirmations’ Confidentiality Agreement, located in the Center Guidebook. I understand that it is my responsibility to act in accordance with these guidelines in order to protect the confidentiality of Center Guests.

Non-Disclosure Agreement Signature

*

I have received and read a copy of the Affirmations’ Non-Disclosure Agreement. I understand that it is my responsibility to act in accordance with these guidelines in order to protect the confidentiality of Center Guests.

Professional Volunteer Agreement Signature

*

I am able to model cultural & behavioral sensitivity and awareness; Able to communicate effectively with Center Guests and Affirmations’ Staff; Report to Staff suspected and/or potential violence, criminal activity, and self harm; Refrain from presenting personal political views while representing Affirmations; Be professional by not discussing Affirmations’ confidential business in public spaces and via social media.

Media Release Agreement Signature

*

I grant permission to Affirmations or its assigns, to use in print, electronic, video, or audio format my name, voice, image or likeness of my minor child or myself. I, on behalf of myself, my child and our heirs and assigns, release Affirmations and its assigns from any liability or claim arising in any way from any use of said name, audio, image, or likeness, including but not limited to claims with respect to copyright ownership and publication, express or implied inaccuracies, disclosures, innuendo, or any claim for compensation related to the use of said audio, image, or likeness.