BACKGROUND INVESTIGATION CONSENT FORM

I, ____________________, hereby authorize STANDUP FOR KIDS and/or its agents to make an independent investigation of my background, references, character, criminal or police records for the purpose of obtaining information which may be material to my qualifications for and during the tenure of my volunteer service with STANDUP FOR KIDS. I release STANDUP FOR KIDS and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge.

PLEASE CLEARLY PRINT ALL INFORMATION! Text in bold is required information.

PROGRAM: Washington, DC

FIRST NAME_____________________________

DOB (MM/DD/YYYY) ____________________________________

MIDDLE NAME____________________________

SOCIAL SECURITY # ___________________________________

LAST NAME _____________________________

DL # AND STATE ______________________/ ____________

CURRENT ADDRESS _____________________________________________________

HOW LONG? ____________

CITY _____________________________

ZIP CODE _______________

STATE _________________

PREVIOUS ADDRESS _____________________________________________________

HOW LONG? _____________

CITY _____________________________

ZIP CODE _______________

STATE _________________

SIGNATURE ____________________________________________________________ T-shirt size: ________________________

Please use the table to the right to acknowledge that all information is completed, photo ID and payment are enclosed. Return all documents to your ED for submission to the National Office.

ONLY EDs can submit BI Forms to the National Office

DATE ___________________

Volunteer Contract As a volunteer for StandUp for Kids DC, you are an important member of our organization and act as our  representative to the community at large.  We aim to ensure that your experience with us is enriching for you as  well as for the homeless and at‐risk youth community that we serve. For a better understanding of what you can  expect as a volunteer and what is expected of you by our organization, we ask that you read and sign the  following Volunteer Contract.    StandUp For Kids will provide for you:    • Beneficial and life‐enriching experiences and greater understanding about the issues surrounding  homelessness in Washington, DC and the country at large.  • Comprehensive orientation and general training sessions, as well as specialized training for specific  responsibilities as necessary.  • Opportunities for professional development and increased responsibilities as they are earned.  • Opportunities for social interaction with other volunteers.    StandUp For Kids asks that you:    • Commit to volunteer the number of hours specified below.  • Choose an assignment within your abilities, interests, and time.  • Attend all required orientation and training sessions required by the Directors of Volunteers and  Outreach.  • Notify the Director of Volunteers and  team Director(s) involved with your volunteer activity at least 24  hours beforehand if you will be absent, and arrange a substitute for your position whenever possible.  • Conduct yourself in an appropriate and ethical manner at all times when dealing with other volunteers,  youth, and community members.  • Follow all applicable guidelines established during volunteer orientation and trainings.  • Have fun and agree to ask questions if needed. Remember, we are here for you!     I, _______________________________________ (print name), understand that my participation with StandUp  for Kids Washington, DC is extremely valued, and my commitment to volunteer is counted upon. StandUp For  Kids recognizes that I have other responsibilities and obligations, but I hereby affirm that I have the time and  desire to volunteer _______ hours per week for the next ________ month(s). At the end of this time period, I  will contact the Director of Volunteers to discuss my availability and willingness to volunteer in the future.  If at  any time I am forced to amend this commitment, I will notify the Director of Volunteers immediately to  renegotiate my contract.     By my signature I acknowledge that I have read, understood, and agree to all parts of the Volunteer  Contract and will strive to fulfill all parts therein. I also commit to volunteer the number of hours that I have  specified above.    __________________________________  ____________________________________  _____________  Name (Printed)         Signature          Date 

 

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