Volunteer Application Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Password must contain the following: 12 Characters 1 Uppercase letter 1 Lowercase letter 1 Number 1 Special character Thank you for your interest in volunteering for Scarlet Road! Please note this application can take 20 to 30 minutes to complete.Please be prepared to sign that you have read and agree to our Volunteer Handbook which you should have received with the link to this application. If not, please request a copy by emailing us at pavingtheway@scarletroad.org.Thanks! Contact Information First Name Preferred Name (if other than First Name) Last Name Email TypePersonal EmailWork EmailAlternate Email Email Address Phone TypeMobileHomeWork Mobile Phone Work Phone Home Phone Street Address City StatePlease select... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Birthday Gender (for purposes of background check)FemaleMale How did you hear about Scarlet Road? Values Please share your statement of faith Please share with us how your personal values align with Scarlet Road’s mission, vision, statement of faith and core values. Work Experience Current Work Experience Current Work StatusFull-timePart-timeRetiredUnemployedOther Current Employer Name Current Employer City Current Employer State Current Title Start Date at Current Role Most Recent Work Experience Former Employer Name Former Employer City and State Former Title End Date at Prior Role Volunteering Volunteer Experience - Please list organization(s), date(s), location(s) and role(s) Volunteer Details Volunteer InterestsAdministrativeAftercare GroupsCleaningComputer UsageFundraising EventsInternshipLandscaping/ MaintenanceManual LaborMarketing and CommunicationsMentoringOther FundraisingOutreachOutreach Drop In Other Volunteer Interest Activity Please list any hobbies, interests or special skills that may relate to volunteering for us. List Pertinent Training (e.g. suicide prevention, sexual abuse, domestic abuse, chemical dependency), please list dates. Please briefly tell us what it is that draws you to be a part of Scarlet Road. For your internship, please list your required start and end dates and also the hours per week requirements. What do you hope to get out of volunteering with Scarlet Road? Administrative Info Driving Info I have a current drivers licenseYesNo Driver's License Number Driver's License Issuing State Driver's License Expiration Date Auto Insurance Company Policy Number Policy Expiration Date Have you had any traffic violations or accidents within the last three years? If so, please explain. Policies and Procedures I have read and agree to the terms of Scarlet Road's Volunteer Handbook. You should have this document in an email from Scarlet Road. If not, please email pavingtheway@scarletroad.org to request a copy.I agree Have you ever been convicted of any crime, including sex-related or child abuse related offenses?YesNo Please explain you conviction Background Check I agree to give Scarlet Road permission to run a background check using my name and date of birth.I agree Legal Name with Middle Initial for Background Check, Maiden Name, Other Names Used Please upload a copy of your state issued identification. Photo Release I hereby authorize Scarlet Road to publish photographs/videos taken of me, and my name, for use in Scarlet Road’s printed publications, grant applications, website and other materials.I acknowledge that since my participation in publications and websites produced by Scarlet Road is voluntary, I will receive no financial compensation.I release Scarlet Road, its board members and its employees from liability for any claims by me or any third party in connection with my participation.I understand that Scarlet Road is a non-profit organization and that use of photographs will be limited to educational, non-commercial purposes. I represent that I am over the age of eighteen and that I have read the foregoing and completely understand the contents thereof. I have read and agree to the terms of Scarlet Road's Photo Release.I agree Privacy Statement Confidentiality is central to the work that we do. As members of the Scarlet Road volunteer network, we have access to highly sensitive personal information regarding the population we serve. In order to maintain an attitude of protectiveness, everyone on the team is bound by confidentiality."I understand that serving with Scarlet Road will bring me in direct contact with information that is confidential in nature. I agree not to share any of this information with anyone out side of the Scarlet Road ministry.In addition, I understand that for the benefit of the people I am helping, I will from time to time need to share information with my director in order to receive input and direction valuable to the recovery of those I serve.Violation of the policy would betray the trust of the very people I am here to serve and may result in my being asked to step down from serving with Scarlet Road." I have read and agree to the terms of Scarlet Road's Privacy Policy.I agree reCAPTCHA helps prevent automated form spam. 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