Boys & Girls Club
With The Salvation Army

The Salvation Army North & South Carolina Division

Safe From Harm Volunteer Application

This form is designed for Applicants requesting to volunteer in any position involving minors. This application is used to help promote a safe environment for the children and youth who participate in our programs or use our facilities. Please include all information requested. Answer questions to the best of your ability. All information will be treated confidentially.
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Name

Please provide any other name that you may have used as a volunteer or employee. (Such as maiden, nickname, etc.)

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Primary Address

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Primary Phone

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Email

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What are you interested in?

Gender

Birthdate

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Age

Some volunteer positions have an age limit of 18 years.

If you are a student, what school do you attend?

If you are a member of a church, please tell us the name of your church and provide your church's address.

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Skills

Please list all skills that you possess
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Please list any other skills or training that you feel has prepared you for work with youth.

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How did you hear about us?

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Availability

 MorningAfternoonEvening
Mon
Tue
Wed
Thu
Fri
Sat
Sun
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Terms and Conditions

The Salvation Army has adopted the guidelines and policies of Safe From Harm. If approved, you will be trained on these policies. Do you agree to observe all guidelines and policies regarding working with youth?
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Current Workplace

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How long have you been employed at the above organization?

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Please indicate any other places that you have worked? Please provide contact information.

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Please indicate any other places in which you volunteered or were employed in which you were specifically involved with youth in the last 5 years. Please provide the nature of your work and any contact information for the organization.

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Have you ever been subjected to expulsion, reprimand, or other discipline by an organization for abuse or misconduct involving a minor?

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Have you ever been disciplined or dismissed from employment or a volunteer opportunity following an allegation of sexual misconduct, sexual harassment, or other inappropriate behavior or conduct?

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Have you ever been the subject of a complaint or disciplinary proceeding against a license held by you?

Please explain any yes answers to the three questions above.

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Felony Charges Information

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Misdemeanor Charges

Please explain any felony or misdemeanor charges

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Terms and Conditions

To volunteer with minors at The Salvation Army, you must provide authorization to initiate a background check. If you are willing to give permission, please check below. A separate form with actual authorization will be emailed to you.
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Indicate any preferred subject areas to assist youth?

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With what age group do you prefer to work?

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Are you connected to The Salvation Army

Please explain your connection to The Salvation Army

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Terms and Conditions

I understand and agree that it is critical to the mission and ministry of The Salvation Army that all volunteers conform to the highest standards of safety, interpersonal conduct, and sexual morality. I affirm that I will strictly comply with The Salvation Army's policies and procedures, including those concerning child safety and protection, sexual abuse and misconduct, and interpersonal relationships. I understand and agree that failure by me to abide by such policies and procedures may result in my immediate dismissal from volunteering within the discretion of The Salvation Army.

References - Provide 4 that are not related to you

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Reference #1

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Reference #1 Phone Number

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Reference #1 Relationship to you

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Reference #2

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Reference #2 Phone Number

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Reference #2 Relationship to you

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Reference #3

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Reference #3 Phone Number

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Reference #3 Relationship to you

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Reference #4

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Reference #4 Phone Number

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Reference #4 relationship to you

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Please include any other information that you think would be helpful to us in determining your ability as a volunteer.

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Terms and Conditions

I certify that the information contained in this application is true and complete. I authorize investigation of all statements or material omissions are cause for my inability to volunteer on behalf of The Salvation Army. I hereby authorize former and present employers/volunteer organizations, except as I have otherwise indicated on this application, references and other sources to provide or verify any information that they may have regarding me, my employment and/or volunteer service with them to The Salvation Army and release them from any liability arising from the furnishing of any employment/volunteer information.

I understand I will not receive any monetary compensation as a result of volunteer activities performed on behalf of The Salvation Army.

I further certify that I recognize that The Salvation Army is a church and agree that I will do nothing to undermine its religious mission.
About The Salvation Army
The Salvation Army's mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.
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