Volunteer Application Name * First Name Last Name Address Email * Phone (###) ### #### Emergency Contact Work Experience & Past Volunteerism Please list the organization name, a reference, your responsibilities, skills used during service, and dates of service. What language(s) do you speak? English Spanish Portuguese Haitian Creole Do you have any additional special training that you would like to offer as part of your service? Volunteers are expected to attend mandatory training 2-4 times per year, and are given ample notice of dates and times of said training. Additionally, volunteer assistance will be requested for fundraising and community events. Do you agree to these additional responsibilities? Yes No Describe how you work as part of a team. Describe how you respond to taking direction from others. Describe your experience working with young children. I understand that if the management team of A Baby Center believes that this volunteer partnership is no longer mutually beneficial, I may be subject to immediate dismissal. I understand that I will be required to supply a CORI and SORI for review. I understand and agree that I have an obligation to the confidentiality of A Baby Center’s clients. I understand that any breach of confidentiality is serious and will result in my immediate dismissal. * Please check the box to submit your electronic approval. Thank you! A Baby Center staff member will be in touch once your application has been reviewed.
