* fields are required
Is this a workplace or personal email? Personal Workplace
If it's a workplace email, may we contact you at that address? Yes No
Have you been on a "Vanessa's Promise" nursery tour? Yes No
Are you presently employed? Yes No
If yes, may we contact you at work? Yes No
Are you presently attending school? Yes No
If yes, where?
Will you be receiving academic credit for your volunteer work? Yes No
If so, please give the name of the course for which you will be receiving credit:
Number of hours required for course: (NOTE: VBCN requires a minimum 45-hour commitment.)
What is the basis of your interest in volunteering at Vanessa Behan Crisis Nursery?:
Please indicate days and time you are willing to volunteer:
Are there any physical or health concerns which should be taken into account for safe and suitable placement within our organization? Yes No
If yes, please explain:
Have you ever been arrested? Yes No
Please list four people, OTHER THAN RELATIVES, who know you well. This might include one of the following: Employer, pastor, supervisor or counselor. Please provide an e-mail contact for your references if possible, as this is our preferred method for contacting references. If you do not have an e-mail address for a reference, please provide a postal mailing address.
Reference #1
Reference #2
Reference #3
Reference #4
The following questions are an important part of our screening process for those who are applying in child care volunteer positions. Please answer specifically and thoroughly.
Tell us about your experiences working with children (infants, toddlers and preschoolers).
Describe your greatest strengths and weaknesses when working with children:
* I hereby affirm that, to the best of my knowledge, all answers to the questions in this application are true and complete. Any misrepresentation will result in the cancellation of this application and will be sufficient cause for separation from this organization's services.
I agree
* I hereby authorize the Vanessa Behan Crisis Nursery to contact former employers, or any other party, to release any and all records of my service and other information concerning me, except information which would indicate my age, race, sex, creed, color, marital status, national origin, sensory, mental or physical handicap (unless such information is based upon a bona fide occupational qualification) Further, I hereby release these parties from all liability for any damage, except that resulting from misrepresentation which might result from furnishing the information.
