Employment and Volunteer History

(Please complete for all full-time or part-time employment beginning with your most experiences) recent

If you had a “magic wand” and could create your perfect volunteer opportunity, what would it look like?

Have you ever reluctantly resigned a volunteer opportunity? Yes ❑ No ❑ If yes, explain:

Did you experience any disappointment during your active volunteerment? Yes ❑ No ❑ If yes, please explain:

Were you given a performance evaluation within the last 12 months of active volunteerment? Yes ❑ No ❑ If yes, what was the range of scores used and what score did you receive?

Have you signed any form of non-compete or non-disclosure agreement(s) with any other organization that might cause you problems in volunteering for Above & Beyond? Yes ❑ No ❑ If yes, please explain: (Applicant alone accepts full responsibility for any consequences resulting from improper or illegal contractual behaviors or obligations)

APPLICANT’S ACKNOWLEDGMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in this, or any application conversation or document, will disqualify me from further consideration for volunteering. I further understand that, if I am accepted as a volunteer, any misrepresentations or omissions of facts on this or any application document that surface afterwards will be cause for my dismissal at any time without prior notice or explanation (due to potential liabililty)

I understand that, if accepted, my volunteerment is not for a specific term and may be terminated by me or my benefactor(s) with or without notice or cause at any time. I further understand that no oral promise, benefactor(s) policy, custom, business practice or other procedure (including the Personnel Handbook or any relevant manuals) constitute a contract or modification of the at-will relationship between myself and my benefactor(s).

I understand that applicants for certain volunteer positions may be required to occasionally re-qualify based on hereforto unknown criteria. For example, as I advance I may be required to take job-related tests, i.e.; take medical tests; allow background investigations; take spontaneous drug tests; and others. If I am offered an opportunity or start before any required test is completed, my continuance is contingent on sustained satisfactory results on all eventual tests.

I acknowledge that, if accepted, I will be voluntarily participating at my own risk, which include travelling to and from as well as direct participation with populations that are unpredictable as well as staff members and fellow volunteers who may occasionally operate in ignorant or negligent ways I absolve Above and Beyond Family Recovery Center, it’s employees, associates, Board of Directors and Clients of any responsibility whatsoever that regards my well-being.

Finally, I understand that everything that I am signing off on is required by lawyers and does not indicate, in any way, the deep gratitude that Above and Beyond has for my selfless act of volunteering. I accept the fact that the needs of the people whom I am serving and helping to serve could not be met without me. I move forward with this opportunity in union with the founding mission of Above and Beyond and will serve its constituents without regard for self-gain even though I am well aware of the universal truth that the only way I can “get” is by “giving”.

Signature: ___________________________________________________________________________

Date: _______________