Volunteer

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Educational Advocacy
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Home
About Us
Volunteer
- Active Volunteers
- Volunteer Application
Give
Calendar
News / Events
Educational Advocacy
Login

8200 Haverstick Road, Suite 240
Indianapolis, IN 46240
t: 317-205-3055
f: 317-205-3060

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Volunteer

Volunteer Application Form

Full Name *

Maiden Name/ Aliases

Date of Birth *

Email *

Address *

City *

State *

Zip code *

Home phone *

Work phone

Cell phone

Are you currently employed? *

Yes

No

If so, where?

Position or title

Full-time or part-time position?

What is your higher educational background? *

Primary language? *

Secondary language?

Race *

Marital status *

Name of spouse

Spouse's place of employment

Position or title

Child(ren)'s names and ages *

Present volunteer activities *

Previous volunteer experiences *

Affiliations (service clubs, sororities/fraternities, ect.)

Do you have any medical limitations or physical disabilities that might affect your ability to fulfill your volunteer responsibilities? *

Are there any medical, physical, or mental disabilities that a child might have that would cause you to be uncomfortable while working with that child? *

Have you had any personal experience involving the following?

Child welfare or child protective services

Juvenile court

Foster care

Any agencies dealing with juveniles

Explanation for answer above.

Skills and Interests *

How did you become aware of Child Advocates, Inc.? *

Write a brief statement indicating why you would like to be a volunteer for Child Advocates, Inc. *

Please list three local (non-relative) references. (name, address, and day time phone number) *

Tell us about your family from the time you were a child to the present (i.e. how many siblings do you have, what was it like growing up in your household, how did you get to where you are today). *

What is your most negative personal attribute? *

What is your most positive personal attribute? *

On a scale of 1 to 5 (with "1" being poor and "5" being excellent), evaluate yourself on the following:

Emotional maturity *

1

2

3

4

5

Self confidence *

1

2

3

4

5

Self motivation *

1

2

3

4

5

Open mindedness *

1

2

3

4

5

Appearance *

1

2

3

4

5

Ability to work with others *

1

2

3

4

5

Ability to accept supervision *

1

2

3

4

5

What experiences/skills do you possess that might enhance your volunteer work with Child Advocates? *

Do you feel you have realistic expectations of your role as a volunteer with our agency? *

Yes

No

What do you think will be your most difficult task after becoming a volunteer for Child Advocates?

Have you ever been arrested? *

Yes

No

If yes, please explain

Have you ever been convicted of a felony/misdeameanor? *

Yes

No

If yes, please explain

I understand that as a volunteer for Child Advocates, Inc., I will work directly with the Marion County Office of Family and Children and the Marion County Juvenile Court.

I understand that Child Advocates, Inc. will contact my references and run a criminal record check on me and I hereby give my consent.

Your social security number will be requested on the first night of class. If accepted, you will agree to abide by all policies and directives of the court, maintain confidentiality, and submit reports as required.

I hereby swear and affirm that I have never been convicted of any charges involving crimes against children (including physical or sexual abuse) or have a history of physical or sexual abuse of children in Indiana or any other state.

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