Volunteer Application Volunteer/Intern Application Form We appreciate your interest in volunteering with NOA. Some of the information requested reflects our need to protect the safety, privacy and health of our volunteers and clients. All volunteers are required to attend orientation and training that includes an overview of the basic dynamics of domestic violence. Volunteer’s Contact Information Name * Email * Primary Phone * Work Phone Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Emergency Contact Emergency Contact Name * Emergency Contact Phone * Relationship to Contact * Experience Past Volunteer or Internship Experience * Organiazations, position and duties, and supervisor Employment Include most recnet company, position, relevant work skills Availability Desired Schedule and Hours: * Days of the week and time of day (ex. morning, afteroon, evening). Also, the number of hours during that time. Frequency of Availability: * Weekly, semiweekly, monthly, one-time project or event What would you like to volunteer with for NOA? * What are your hobbies, interests, and skills? Education/Credentials High School, College, Specialized Training School * Dates * Degree Location * plus1 Add minus1 Remove References Provide 2 non-family members who can provide references on your ability to perform this volunteer position. Reference name, Address, Phone number * plus1 Add minus1 Remove Reference name, Address, Phone number * plus1 Add minus1 Remove Agreement NOA Policy and Manual I have received the NOA Volunteer Policy & Manual and agree to the training and documentation requirements for my specific role. NOA offers many opportunities that do not require working directly with clients. If you choose to work directly with NOA clients, Georgia DHS standards for a family violence shelter program have specific requirements. Georgia DHS Documentation Requirement (Working with Clients) Fingerprint Criminal Background Check (Must be verified through Cogent) First Aid/CPR/HIV-Aids Training Every 2 Years Volunteers are responsible for any associated costs to meet these criteria. Submit If you are human, leave this field blank.
