Volunteer Info Form

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JOURNEYS | The Road Home
Volunteer Information Form

Thank you for your interest in volunteering with JOURNEYS | The Road Home!

After viewing the presentation you received via email, please complete this form. This information will be forwarded
to our Volunteer Coordinator, and you will then receive information about scheduling and next steps.

* Indicates required field

Name (First, Middle, Last) *

Address *

Address Line 2 *

City *

State *

Zip Code *

Phone Number *

Email *

Date of Birth *

In order to volunteer with JOURNEYS | The Road Home, we are requiring that all volunteers must be fully vaccinated against COVID-19 and must show their vaccination card by no later than their first scheduled shift.

COVID-19 Vaccination Status *

Yes - I am vaccinated and will provide proof of my vaccination status No - I am not vaccinated yet, but understand that this is a requirement to volunteer

What day(s) are you available? *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Which position(s) are you interested in? *

Meal Delivery (during COVID-19 sheltering) HOPE Center Front Desk HOPE Center Kitchen Assistant HOPE Center Food Pantry HOPE Center Clothing Closet PADS Set-up shift (Begins at 6pm) PADS First Shift (6:30pm-11pm) PADS Second Shift (11pm-3am) PADS Third Shift (3am-7am) PADS Clean-up shift (6am-7am)

Volunteer Policy and Procedures
By checking this box, I agree that as a JOURNEYS volunteer, I will adhere to the policies and procedures of the agency and respect the civil rights, dignity, and confidentiality of all JOURNEYS clients and volunteers. I understand that failure to do so may result in the immediate termination of my volunteer role. I agree to hold JOURNEYS harmless for any liability from any incident that may occur during my volunteer experience with JOURNEYS. I agree that at times I may be photographed, and these photos may be used by JOURNEYS to educate, perform outreach to the community, and fundraise.

Agree to follow policies *

I Agree

Volunteer Background Check Policy
The purpose of this background check is to ensure the safety of the clients, volunteers and staff at JOURNEYS | The Road Home. All volunteers of JOURNEYS | The Road Home are required to participate in this screening process.

Volunteers will be screened using the Dru Sjodin National Sex Offender Public Website (NSOPW), https://www.nsopw.gov/, which is managed by the Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering, and Tracking (SMART) as authorized by the Sex Offender Registration and Notification Act. NSOPW is a partnership between the U.S. Department of Justice and state, territorial and tribal governments. NSOPW is a public resource that searches the public sex offender registries from all 50 states, the District of Columbia, the five principal U.S. territories and federally recognized Indian tribes.

All volunteers who are at least 18 years of age or older will be screened after attending a JOURNEYS’ volunteer orientation.

If the volunteer is not cleared through the screening process, they will not be eligible to volunteer with JOURNEYS | The Road Home in any capacity, including at any and all PADS locations. If the volunteer is not eligible, they will be told so by a JOURNEYS’ employee. If the volunteer is not cleared through the screening process, but they believe the screening information to be incorrect, they may visit https://www.nsopw.gov/ to contact the NSOPW directly.

Once the volunteer is cleared, their information will be sent to their indicated sites to be scheduled for site specific training.

By checking this box, I agree to a background check. I understand that me volunteering with JOURNEYS | The Road Home is dependent upon the results of the background check. I agree to be screened using the Dru Sjodin National Sex Offender Public Website (https://www.nsopw.gov/). I understand that if this process is not agreed to, or if I am not cleared through the process, the offer of volunteering will be rescinded.

Agree to a Background Check *

I agree

Additional Comments (skills, scheduling, etc.) *

Would these Volunteer Hours be for Community Service? *

Yes No

If Yes, how many hours and deadline for completion *

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JOURNEYS | The Road Home
1140 E Northwest Highway
Palatine, Illinois 60074
(847) 963-9163
[email protected]

JOURNEYS | The Road HomeVolunteer Information Form

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JOURNEYS | The Road Home
Volunteer Information Form