Affirmations LGBT Center · Community Service Volunteer Application

Community Service Volunteers (CSVs) are required by various courts to complete service hours. CSV responsibilities include facilities management, specifically, deep cleaning of community spaces. Additional tasks may be included by Affirmations' Staff and can be considered toward Community Service hours at the discretion of the Community Resource Coordinator (CRC). All prospective CSV’s must apply online.

Any accepted CSV may participate in Affirmations’ General Volunteer Program only after the completion of community service hours. In so doing, the individual must abide by program requirements and training schedules thereafter.

Name

First Name

Last Name

How Many Hours Are You Required To Complete?

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What Date Must You Complete Your Hours By?

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Please Enter Court Name Below

*

If these hours are not Court Mandated Hours, please enter NA and skip the next two sections.

Please Enter Probation Officer's Name Below

Please Enter Probation Officer's Email Below

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:

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Gender Pronouns:

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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

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First Name

Last Name

Relationship to Applicant

*

Contact Phone Number

*

How did you hear about Affirmations? Be specific.

*

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

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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

Best Practices

Click here to access a copy of the Center Guidebook pdf, for download.

Downloading the Center Guidebook via the Center Application is an agreement to abide by Affirmations’ Code of Conduct, Confidentiality & Mandated Reporting, Best Practices, and Center Volunteer and Intern Censure & Dismissal Process.

To Sign: Enter First & Last Name.

Confidentiality Agreement Signature

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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.

Professional Volunteer Agreement Signature

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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.