Community Service Volunteer Application (Page 3 of 4) in pdf

Goodwill Industries of Akron takes pride in providing a quality opportunity for court ordered community

service. In order to assure the safety and well-being of all involved (participant/volunteer/employees),

all volunteers must have on file in the Goodwill office:

Completed Community Service Volunteer Application

Photocopy of your driver’s license (if performing driving duties)

Photocopy of your automobile liability insurance coverage (if performing driving duties)

Agree to a background check (18 years of age or older)

Signature of Acknowledgement on Volunteer Policies

If you are performing driving duties, Ohio law requires liability insurance on your car; we require a

completed volunteer application and a copy of your driver’s license. This information is confidential,

accessible to Goodwill Human Resources, Marketing and others, only as required by law.

I certify that all information I have provided in order to apply for and volunteer for community service

through Goodwill is true, complete and correct. I expressly authorize, without reservation, Goodwill, its

representatives, employees or agents to contact and obtain information from all references (personal

and professional), employers, public agencies, licensing authorities and educational institutions and to

otherwise verify the accuracy of all information provided by me in this application. I hereby waive all

rights and claims I may have regarding Goodwill, its agents, employees or representatives, for seeking,

gathering and using such information in their volunteer process and all other persons, corporations or

organizations for furnishing such information about me

I understand that any information provided by

me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to 1)

cancel further consideration of this application, or 2) immediately discharge me from the community

service volunteer program, whenever it is discovered.

Goodwill reserves the right to terminate the community service volunteer arrangement at any time, with or

without cause or prior notice.

I agree to a comprehensive, investigative background check before, or during my volunteer community

service if I am 18 years of age or older. If under age 18, please fill out Youth Volunteer Application.

In addition to the above understandings:



I understand that one of Goodwill Industries of Akron’s volunteer goals is to help me complete my court

ordered community service hours. Due to the volume of calls that Goodwill receives, I further

understand I will work towards completing my hours in a reasonable timeframe and should I not, my

services will be terminated.

REASONABLE TIMEFRAME INCLUDES:

10-19 hours or less to be completed within 14 days of placement

20-39 hours to be completed within 30 days or less of placement

40-69 hours to be completed within 60 days or less of placement

70-99 hours to be completed within 90 days or less of placement

100-149 hours to be completed within 120 days of placement

Community Service Volunteer Signature_____________________________ Date_______________

Please complete the application fully and fax, mail or e-mail to Goodwill Industries and you will be contacted.

Completed applications do not guarantee that an opportunity exists.

You must include a copy of your court order with this application.

Goodwill Industries of Akron

ATTN: Volunteer Services, Heather Schaefer

570 E. Waterloo Road

Akron, Ohio 44319

Phone: (330) 786-2524

Fax: (330) 786-2503

E-Mail:

Website

Community Service Volunteer Application Page 3

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