Wanda Joyce Robinson Foundation

Contact Information

Name

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First Name

Last Name

Gender Pronouns (Optional)

Email

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Verify Email

*

Phone

*

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Background Checks

The Wanda Joyce Robinson Foundation is committed to standards of excellence in child protection practices. If your volunteer role will have direct contact with children, you will be required to complete the following:

Processed by WJRF, no cost to you:

FBI Fingerprint Background Check (all 50 states)
National Sex Offender Registry Check

Central Registry Check (Child Abuse/Neglect Check), processed by the Kentucky Department of Community Based Services. You will need to pay $10.00 cash or check. A receipt can be provided.

In order to process a background check the following information is required:

Legal Name

*

Please include other legal names in which you have used.

Sex at Birth

*

Race/Ethnicity

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Birthdate

*

(mm/dd/yyyy)

Social Security Number

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Driver's License Number

*

Driver's License State

*

Emergency Contact

*

First Name

Last Name

Emergency Contact Relationship

*

Emergency Contact Phone

*

More About You

Volunteer opportunites vary. We'd love to know more about you so we can make the best match.

Have you done any volunteer work before? If yes, please list previous and/or current volunteer experience.

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What are your interests, skills, and/or areas of expertise?

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Why do you want to volunteer with the Wanda Joyce Robinson Foundation?

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If you are volunteering for a specific role, please list/describe below:

I prefer to work with:

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I am comfortable working with parents/guardians.

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Would you consider mentoring a child one-on-one?

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Are you willing to serve as a volunteer for a 12 month period?

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Are there any agencies, business, or church that you represent, or with whom you are familiar, you'd recommend partner with us? Are their other individuals you'd recommend? If so, please provide their contact information:

Is there any additional information you would like to share with us or bring to our attention? Have you been personally impacted by incarceration?

Comments/suggestions/ideas:

References

Please provide 2-3 references. If you are volunteering for a mentor or board position please provide 3 with 2 being work contacts and 1 being a personal contact.

First Reference Name

*

First Name

Last Name

First Reference Relationship

*

First Reference Email

*

Verify Email

*

First Reference Phone

*

Second Reference Name

*

First Name

Last Name

Second Reference Relationship

*

Second Reference Email

*

Verify Email

*

Second Reference Phone

*

Third Reference Name

First Name

Last Name

Third Reference Relationship

Third Reference Email

Verify Email

Third Reference Phone

Aknowledge and Submit

I declare that the information I have provided is true. All of my actions as a volunteer will serve to improve the lives of children and youth impacted by incarceration.

*

Yes

No