607-724-5153 contact@accordny.com

Volunteer Application

“I’ve seen and met angels wearing the disguise of ordinary people living ordinary lives” – Tracy Chapman

  • Employment

  • Volunteer Logistics

  • Education History

  • Experience

  • Additional Information

  • References

  • Release

    Please sign and check the appropriate section
    The criteria used in the selection of volunteers have been established to ensure that the individual is able to meet the responsibilities of being a volunteer of ACCORD. No individual will be rejected based on race, color, religious creed, national origin, sex, age or marital status. I hereby certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge. I understand that if accepted as a volunteer, falsified statements on this application shall be considered sufficient grounds for dismissal, and I will be authorizing I understand the information in this application and that otherwise may be obtained will be used only for determining my eligibility for volunteer service and will be kept confidential.
    I understand that by signing below, I authorize a National criminal records and a child abuse state central registry check to be made concerning my suitability as a volunteer. Any applicant found to have been convicted of, or having charges pending for a felony or misdemeanor involving a sex offense, child abuse or neglect or related acts that would pose risks to children or the CASA Programs credibility is not accepted as a CASA volunteer. I understand the information in this application and otherwise obtained will be used only for the purpose of determining my eligibility as a volunteer. All information will be held in confidence. Criteria used in the selection of volunteers will be such as to insure that the individual is able to meet the responsibilities of a volunteer Court Appointed Special Advocate. No individual will be rejected based on race, color, religious creed, national origin, sexual orientation, age or marital status. I hereby attest that all information given in this application is true to the best of my knowledge.
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