IMFK Volunteer Application and Agreement Form

  • Personal Information
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  • Name*full name
    1
  • Email*a valid email address
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  • Address Line 1*full name
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  • Address Line 2*full name
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  • City*full name
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  • State*full name
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  • Zip*full name
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  • Primary Phone #*full name
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  • Company or Volunteer Group Name
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  • Company Name*full name
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  • What languages, besides English, are you fluent in?
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  • Language Fluency*something more
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  • Do you have a specific skill(s) you feel IMFK could use?
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  • List Skillsets*something more
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  • Have you ever volunteered before?
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  • Volunteer Experience*Yes or No
    Yes
    No
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  • If yes, for what organization?
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  • Organization Name*full name
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  • Who can we contact?
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  • Organization Contact (Volunteer Reference)*something more
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  • History & Consent to Background Check
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  • Have you ever been adjudged civilly or criminally liable for abuse of an individual?
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  • Abuse of an individual*
    Yes
    No
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  • Have you ever been convicted of a crime?
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  • Criminal Conviction*to order
    Yes
    No
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  • If yes, please describe
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  • Please explain criminal conviction*
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  • Have you ever been charged with physical abuse or sexual molestation/assault of a minor?
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  • Physical/Sexual Abuse*to order
    Yes
    No
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  • Background Check: In My Father's Kitchen requires volunteers working one on one with individuals or minors to submit to a background check. Criminal conviction does not necessarily bar an applicant from volunteering. The nature of the offense will be taken into consideration before a decision is made. There is no fee on the part of the volunteer for the background check. Screening must be completed before volunteers begin working on a consistent basis under the bridges, tutoring and/or working with children at IMFK.
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  • Do you agree to have a background check? (if required)
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  • Background Check Consent*to order
    Yes
    No
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  • References
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  • List two people, not related to you, who have knowledge of your qualifications.
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  • Reference #1
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  • Name*full name
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  • Email*full name
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  • Phone #*full name
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  • Reference #2
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  • Name*full name
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  • Email*full name
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  • Phone #*full name
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  • Acceptance of Terms
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  • As a volunteer for In My Father's Kitchen, Inc. (IMFK), I agree to abide by all applicable rules and regulations of the agency. I understand that I will receive no monetary benefits in return for my volunteer service and that IMFK may terminate this agreement at any time without prior notice for any reason. I hereby authorize IMFK to check my references, and I understand that a criminal background check is required when serving under the bridge, tutoring and/or working with children. I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts from this application could be cause for rejection of this application or dismissal. I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined. I agree to an interview with the IMFK Volunteer Coordinator and on-site orientation to perform my volunteer role. I hereby Release and Waive liability against In My Father's Kitchen, Inc., a non-profit corporation, it's directors, officers, employees and agents, its successors and assigns, for any injuries or illness that I myself or my dependents may suffer in connection with any volunteer work for IMFK. Further, I agree that In My Father's Kitchen, Inc., is not liable for any damage to my property or my dependent's property resulting from volunteer work for IMFK. I agree that this release is as broad and inclusive as permitted by the laws of the State of New York.
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  • Application Acceptance*
    I accept the terms of this agreement/application.
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