Volunteer Application
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Today's Date
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Name
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Prefix
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First
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Last
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Suffix
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Address
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Street Address
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Address Line 2
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City
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State / Province / Region
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Postal / Zip Code
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Country
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Phone Number
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Email
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Date of Birth
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(NCAP is only able to accept volunteers who are 18+)
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Gender
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Emergency Contact
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Name
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Prefix
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First
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Last
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Suffix
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Phone Number
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Address
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Street Address
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Address Line 2
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City
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State / Province / Region
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Postal / Zip Code
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Country
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Relationship to you
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About you
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Besides English, what language do you speak/write?
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Are you currently employed?
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Yes No
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If yes, where?
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Are you a student?
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Yes No
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If yes, where?
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Are you part of a service learning project or completing community service
hours?
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Yes No
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If yes, how many hours do you need to complete?
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By what date?
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Contact name & number of your case manager/professor
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Have you ever been convicted of a felony?
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Yes No
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If yes, list convictions
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Do you want to volunteer for a one-time event or on-going?
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How many hours would you like to volunteer (per day, week, month, etc.)?
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Volunteer Experience
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Have you volunteered for NCAP in the past?
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Yes No
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Why do you want to volunteer at NCAP?
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What previous volunteer experience do you have?
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I would be uncomfortable in the following situations:
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What are you interested in doing?
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Front desk/receptionist (answering phones, general office tasks, greeting clients & light cleaning) Transportation (using a NCAP provided vehicle to drive clients to/ from doctor’s appointments, great opportunity to have one-on-one client contact) Food Bank (includes stocking & organizing NCAP’s food bank) Fundraising/ Special Events (usually in evenings and weekends; no set hours)
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Knowledge and Comfort
On a scale of 1 to 10 (1= very low, 10 = very high) how would you rate yourself
on the following?
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My knowledge of HIV/AIDS
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My comfort level in regard to gay, lesbian, bisexual, and transgender issues
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My comfort level in regard to topics of sexuality, safer sex, and sexual practices
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My comfort level in regard to drugs and people who use drugs
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My comfort level in regard to people who are living with HIV/AIDS or at risk for contracting HIV/AIDS
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References
Please provide at least one character reference (not a family member)
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Name
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First
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Last
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Suffix
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Relationship to you
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Phone Number
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Name
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Prefix
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First
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Last
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Suffix
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Relationship to you
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Phone Number
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Thank you for filling out this application!
After your application is reviewed, you will be contacted to come in for a short interview. You will then need to complete the volunteer training prior to starting your volunteer service.
NCAP does not discriminate on the basis of age, race, ethnicity, national origin, religion, ability, HIV status, gender identity or sexual orientation.
Questions? Call the Volunteer Coordinator at (970) 484-4469
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Image Verification
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