Volunteer Application All Ways to Give Please enable JavaScript in your browser to complete this form. - Step 1 of 9Volunteering invests in your community. Before you begin, please make sure you have the following items ready: Two references, including one personal or family reference. Emergency contact name and phone number. Government issued photo ID - a digital copy (for example a clear photo taken with a smartphone). NextSave and Resume LaterBACKGROUND CHECK AUTHORIZATION FORMRod's House Background Check Authorization Form I hereby authorize Rod’s House and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or and investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to the following areas: Verification of social security number Employment history Education background Character references Drug testing Civil and criminal history records from any criminal justice agency in any or all federal, state, or county jurisdictions, driving records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency to divulge any information, verbal or written, about me, to Rod’s House or its agents. I further authorize the complete release of any records or data pertaining to me that the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. Rod’s House and its designated agents and representatives shall maintain all information received from this authorization confidentially to protect the applicant’s personal information, including but not limited to, addresses, social security numbers, and dates of birth. I understand that my consent will apply for the duration of my employment, unless I revoke or cancel my consent by sending a signed letter or statement to Rod’s House at any time, stating that I revoke my consent to no longer allow Rod’s House to obtain consumer or investigative consumer reports about me. Criminal Background Check Consent *YesNoI hereby authorize Rod’s House and its designated agents and representatives to conduct a comprehensive review of my background.We are unable to proceed with your volunteer application. Thank you for your interest in volunteering. However, due to your response regarding consent to a background check, we are unable to move forward with your application. application. Signature * Clear Signature Date *Copy of Background CheckYesNoI would like to receive a copy of any report obtained on me by Rod's House.NextSave and Resume LaterContact DetailsName *FirstMiddleLastBirthdate *Preferred PronounsExamples: she/her; he/his; they/themEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGovernment Issued Photo ID * Drag & Drop Files, Choose Files to Upload Please upload a clear photo of your government issued photo ID.Preferred Contact Method *PhoneEmailTextEmergency ContactFill out the following field with the information of someone we could contact in the event of an emergency.Name *FirstLastPhone *Relationship to You *NextSave and Resume LaterVolunteer Responsibilities Please review the following volunteer responsibilities carefully - they were created to ensure safe, predictable and positive environments for youth and young adults, staff and volunteers. Our young people come from many different families, cultures, and communities. We celebrate diversity and nurture cultural and ethnic pride in the people we serve. Please listen and learn about the backgrounds and values of young people you interact with. Do not impose your personal values and beliefs onto the young people. Positive relationships allow young people to learn and thrive. Help staff create affirming environments by knowing and caring for the young people and sites you volunteer with. Choose a commitment level you can keep. We count on volunteers to be dependable and regular in attendance. Sign in and sign out; wear your issued Rod's House volunteer badge at all times. Volunteers are important role models for our young people. Familiarize yourself with the Rod's House rules and our values and expectations. Engage with young people in a respectful and age appropriate manner and maintain the highest professional, moral and ethical standards in your interaction with young people. Know and observe all regulations and procedures at all Rod's House sites. Do not take or post photos or share descriptions of young people on personal websites or social media accounts. Do not engage in commercial, political, or religious solicitation of young people or staff. Do not bring minors, including own children, when volunteering at Rod's House sites. Do not share your contact information with young people, including social media information. Discuss problems that arise with your point staff member. Report suspected abuse or neglect immediately to your point staff member or another Rod's House employee. We are mandatory reporters. Staff will do reporting and follow-up. Agreement to Volunteer Responsibilities *I have read and agree to the Terms of Service Agreement listed above.I agree to follow the above volunteer program participation requirements and remaining guidelines included in the volunteer handbook during and after my time as a volunteer for Rod's House. I acknowledge that I must complete the online training courses AND meet criteria for background check clearance prior to volunteering with Rod's House. In addition, while volunteering, I understand that my photo, video footage or statements could be used in Rod's House publications unless I opt out with the site coordinator. I understand that volunteering at a site is a privilege and that Rod's House can terminate my eligibility to volunteer.NextSave and Resume LaterType of Volunteer *IndividualGroupGroup w/ MinorsGroup Volunteering w/ Minors The person submitting this application will be responsible for supervising minors during the volunteer hours. You are also responsible for obtaining parental or guardian consents for minors and assume all risk and responsibility. Rod's House assumes no responbility. By submitting this application, you agree. Group Name *NextSave and Resume LaterRod's House Volunteer Liability Waiver In exchange for the opportunity to participate in volunteer activities with Rod’s House, including any related or incidental events (“Volunteer Activities”), I, the undersigned volunteer (or parent/legal guardian if the volunteer is under 18), hereby agree to the following terms: Release of Liability I voluntarily release and agree not to hold liable or pursue legal action against Rod’s House, its officers, directors, employees, subcontractors, sponsors, agents, and affiliates (collectively referred to as “Rod’s House”) for any claims, damages, or losses. This includes claims for property damage, personal injury, or wrongful death that may arise from my participation in Volunteer Activities, regardless of when, where, or how such claims may occur—even if caused by ordinary negligence. Assumption of Risk I understand that participating in Volunteer Activities carries certain risks, including the potential for serious injury or death. I knowingly accept all such risks and choose to participate voluntarily. Indemnification I agree to indemnify and hold harmless Rod’s House from any claims, demands, or expenses, including legal fees, arising from my participation in Volunteer Activities. Insurance Acknowledgment I understand and acknowledge that Rod’s House does not provide health, accident, or liability insurance for me or the volunteer (if under 18), and I am solely responsible for securing any insurance coverage I may need. Health Representation I confirm that I am in good physical health and have no conditions or impairments that would prevent or interfere with my ability to safely participate in Volunteer Activities. Severability This agreement is intended to be as broad and inclusive as permitted under applicable state law. If any part of this waiver is found to be legally invalid, the rest shall remain in full force and effect. Binding Agreement I understand that this is a legally binding agreement that waives certain rights and releases Rod’s House from liability. By signing below, I confirm that I have read, understood, and voluntarily agree to the terms outlined in this waiver. Name *FirstLastSignature * Clear Signature Date *Signature of Parent/Guardian (if under 18) Clear Signature DatePreviousNextSave and Resume LaterPreferences/AvailabilityAre you interested in volunteering at facilities, events or both? *FacilitiesWorking with Young PeopleFan Fest NorthwestGeneral EventsBothFan Fest Northwest Areas of Interest *Check-In (Techy people encouraged!)Workshops/PanelsPeace BondingVendorsGaming ArenaCosplay ContestVolunteer ManagementPhoto Op RoomTalent AssistantWhile we can't guarantee you'll be placed in these areas, we will do our best to accommodate your interest. Please select at least 3. How much time would you be able to dedicate? *WeeklyOccasionally (2+ days per month)MonthlyOtherIf other... *What days of the week are you available?TuesdayWednesdayThursdayFridaySaturdayIs this application related to community service hours you are required to complete? *YesNoNextSave and Resume LaterCommunity ServiceHow many hours of community service do you need to complete? *What date do you need to complete your community service hours by? *NextSave and Resume LaterGetting to Know YouPlease list any relevant experiences you have that you feel would benefit any of the above programs or events. *Why are you interested in volunteering at Rod's House? *How did you find out about our organization? *Direct mailAdvertisementSocial MediaOnline SearchFriend / FamilyBusiness ColleagueOtherIf other... *Signature * Clear Signature Thank you for completing our volunteer application form. By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link PUBLIC RESOURCES Home Donate Services Privacy Policy CONTACT 32 N. 3rd St., Ste 235Yakima, WA 98901 office@rodshouse.org (509)-895-2665 FOLLOW US FollowFollowFollowFollow ABOUT Subscribe to our newsletter! * indicates required Email Address *
