Volunteer Application Volunteer Application Step 1 of 3 33% Date(Required) MM slash DD slash YYYY Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)Age(Required)Please enter a number less than or equal to 100.Volunteer type(Required) Student Volunteer Community Volunteer Group/Organization Volunteer If part of a group, please list the organization: If you're a student volunteer, please complete this section.College/University Affiliation Department/Course of Study Professor Name Professor Email Total Hours Needed Completion Date Please select the volunteer areas you are interested in:(Required) Laundry (M-Thu, Sat-Sun 12-4pm, Evenings 5-9pm) Meal Service (3 meals per day, 7 days a week) Please share what days and hours you are available to volunteer:(Required) As a volunteer at The Kearney Center, you will interact with people experiencing homelessness directly. Do you have any personal issues or concerns about working with our clients?(Required) Yes No If your answer was YES to the question above, please explain: Do you have any health issues we should be aware of that might prevent you from effectively completing your volunteer duties? (Examples: seizures, epilepsy, allergies, etc.)(Required) Yes No If your answer was YES to the question above, please describe: Volunteer Policies(Required) I agree to the volunteer policies.Respect and Confidentiality Foremost among the responsibilities of all volunteers at The Kearney Center is treating our clients with the utmost respect and dignity. While at The Kearney Center, you might get an intimate glimpse into the lives of some of our clients. One of the most important ways that we show client respect is by not sharing any personal or sensitive information we may learn about them with family members, friends, or anyone outside the walls of The Kearney Center. Our facility is a shelter and, by definition, a place of safety and protection for our clients. Our clients expect that from us, and we in turn expect that from everyone who works or visits here. Working Your Scheduled Shifts Volunteers are expected to be present for their scheduled volunteer shifts and to use the log book located at the central control booth to sign in when they arrive and sign out at the end of their shift. If you know in advance that you cannot volunteer as scheduled, please email volunteer@cesctlh.org within 24 hours of the start of your shift. Any volunteer that does not follow volunteer policy can be sent home or have their volunteer opportunity terminated. Dress Code and Appropriate Conduct All volunteers are expected to adhere to the Code of Conduct and dress code as explained in the Volunteer Handbook. Any volunteer exhibiting behavior considered by The Kearney Center staff to be dangerous or inappropriate will be asked to leave and prohibited from any further volunteering at this facility. Liability Waiver I understand the risks of working at The Kearney Center and I release from liability and waive my right to sue CESC, Inc., the Shelter, their employees, officers, volunteers, and agents from any and all claims, including claims of negligence, resulting in any physical injury or harm that may occur while at the Kearney Center. Statement of Confidentiality I understand The Kearney Center confidentiality policy, as explained above, and for the sake of our clients, agree to abide by it. All persons in the state of Florida are mandated to report any abuse, neglect, or exploitation of children and vulnerable adults. Volunteer Policy and Agreement I understand the volunteer application process and that I must follow all Kearney Center rules and guidelines for volunteering that is stated in the orientation. Failure to follow these rules and guidelines can result in termination of my volunteer services. PLEASE NOTE: All applicants for volunteering are considered without regard to race, ethnicity, religion, gender, sexual identity, sexual orientation, national origin, age, marital status, disability, or citizenship status.
