Volunteer Guardian Application (Page 7 of 7) in pdf

Affirmation and Release of Information: (please initial each statement after reading)

I hereby affirm that all the answers provided on my volunteer application are true. I understand that if

my BCII report indicates a record that I have not revealed it is grounds for automatic termination of my

application.

I authorize the Volunteer Guardian Program to investigate my background to determine my fitness as a

potential volunteer. I understand that I will be fingerprinted and that there may be a fee for conducting

the subsequent police background check(s). *Franklin County applicants – The fee is $20 and must

be paid at the time of my interview. (Cash or check made out to “City of Columbus”)

I acknowledge and agree that I am not obligated by this application to become a volunteer guardian.

The application and interview are designed to help me make that decision.

The Volunteer Guardian Program reserves the right to decline a candidate for any reason the program

believes in its own judgment is not in the best interest of prospective wards, the program or the

individual making application.

I understand that the information requested in this application will be used only for the purpose of

determining my suitability as a Volunteer Guardian Program volunteer.

I understand that 6 hours of training is required by Ohio Supreme Court Rule 66: The training can be

obtained through VGP’s 6 hour basic training program, or 3 hours of VGP introductory training plus 6

hours in person or online Supreme Court basic training.

Once appointed I agree to serve a minimum of one year for my person. If unforeseen circumstances

prevent me from fulfilling this obligation, I will submit my written resignation to the program director with

as much advance notice as possible to give the program sufficient time to find a qualified and

appropriate successor guardian.

I understand that once appointed by a court, I am the legal guardian of my person until a new guardian

is appointed by the court or my person dies.

I understand that if I fail to follow National Guardianship Standards, the Volunteer Guardian Program

may seek my removal as legal guardian. Case managers are available to provide guidance.

I understand that the volunteer guardian program uses case managers to support the volunteer. It is

my responsibility to contact a case manager when I have questions, and I agree to complete/return the

quarterly report when sent to me so the case managers can be up to date on my person

s situation.

I will keep all sensitive information about my person confidential (from outside the program third parties)

unless disclosure is needed to secure professional services.

Name (please print):

Signature

Date

Please return completed application to: COAAA / Volunteer Guardian Program

3776 South High

Columbus OH 43207

Fax: 614-645-1928

Email:

Upon receipt of your application, we will contact you to arrange an interview. Thank you!

Page 7 of 7

Volunteer Guardian Application Page 7