Please Donate!
| Application for Volunteers |
|
Growing Green Hands, Inc, (Not for profit) Volunteer Application
Program Information:
Growing Green Hands: An Intergenerational Mentoring Program serves to empower local youth (ages 8 to 17 years) with the greatest needs, by providing mentoring and motivational opportunities that will include: one-on-one older-adult-to-child mentoring, group educational mentoring, group career mentoring, with an emphasis on “Green” living (healthier nature and human connections), environmental education and sustainable personal and community living skills.
Minimum Volunteer Requirements: • Desire to make a profound difference in the life of a young person. • Willingness to give of time and self for as many hours as willing. • Successful completion of initial interview in person or over the phone, reference check.
(Please Print):
Legal Name: ________________________________________________________________________ Name you prefer to be called: ________________________________________________ Mailing Address: __________________________________________________________ Home Address: ____________________________________________________________ If applicable, where do you work: _____________________________________________ Work Address: ____________________________________________________________ Daytime Phone: Evening Phone: Email:
Please answer in essay form (no less than 300 words) and attach to application: 1) Why do you want to be a volunteer? 2) What do you hope to gain personally from volunteering? 3) What do you hope to offer as a volunteer? 4) What are your relationships with family and friends like now? 5) In what ways are you currently supporting “green” living and environmental consciousness? 6) What concerns do you have about volunteering or your participation in the program?
Personal References: Please include name, address and phone number 1) 2) 3)
Please describe and list specific ways in which you would be willing to volunteer with Growing Green Hands Mentees (youth 8-17) and other community volunteers to serve you. Some examples: I would enjoy volunteering and connecting with a youth while doing activities that I enjoy… - such as talking/sharing life stories, playing music, needlework-pottery-photography-wood carving or other hand crafting-walking/hiking-environmental restoration-fishing-boating or other outdoor activities; I would like help in creating/planting a healing garden and/or caring for my garden/yard/; I need help with light house/pet chores, errands, learning technologies, other…; I would be willing to apprentice/job shadow/teach a youth interested in learning about my profession/occupation etc.) AUTHORIZATION FOR RELEASE OF INFORMATION I submit the following information to assist Growing Green Hands, Inc, and its programs in performing background checks. PLEASE PRINT CLEARLY IN INK NAME:_________________________________________________ DATE OF BIRTH: ____ / ____ / ____ PRESENT ADDRESS
How long at current address? _____ YRS _____ MOS DRIVERS LICENSE NO.: _____________________ SOCIAL SECURITY NO.: __ __ __ - __ __ - __ __ __ __ (Note State if not CA: ___________) PREVIOUS ADDRESS (For past 5 years) ADDRESS: How long at this address? _____ YRS ___ MOS ADDRESS:
How long at this address? _____ YRS ___ MOS OTHER NAMES I HAVE USED: (List Last Name, First Name, Middle Name)
NAME(S) OF SPOUSE(S) and/or SIGNIFICANT PARTNERS: (List Last Name, First Name, Middle Name of current and former spouses/partners)
NAME(S) OF CHILD(REN): (List Last Name, First Name, sex, and date of birth for each child presently or previously in your household
USE OF PHOTOGRAPHS AND VIDEOS Some of the Growing Green Hands (GGH) events, such as the monthly group mentoring meetings or service learning projects will be photographed and/or videotaped. If you choose to attend any of these events, you may be photographed and/or videotaped. Please check below if you do not give GGH and GGH project partners permission to copyright, broadcast, duplicate, exhibit and/or use film, audiotape, photographs, printed information, and/or drawings of yourself without limitation for general education, information dissemination, and research purposes in videos, audiotapes, and printed publications, and on the World Wide Web. In addition, you waive any right to inspect or approve the finished publication or other product in which your image/information might be used. Check here if you do not give permission to be included in pictures or videos. I have read and agree to the expectations listed for GGH mentors, publication guidelines, and the Use of Photographs and Videotape guidelines as indicated above. I agree to report to any past convictions. I authorize GGH to contact my references and process a background check. I will inform GGH of any convictions or charges that relate to minors or vulnerable adults. ______________________________________________________________________________________ Print Signature Date Please return this completed application GGH in person, by mail or fax to: If you have any questions regarding the program or this application, please contact Tamberly Mott @415 632-8702 or Donna Wolfe @ 467-3200. We also invite you to check out www.growinggreenhands.org |
We are a nonprofit 501(c)(3)
Growing Green Hands is officially a nonprofit!
Help us out by making your tax deductible donation by using the donate button on the left.