Nurturing Change

Nurturing Change Volunteer and Internship Application

Nurturing Change Volunteer/Intern Application

Thank you for your interest in serving as a volunteer for Nurturing Change. The mission of Nurturing Change is to empower caregivers with insight and proficiency in trauma-informed care, in order to provide emotional healing and behavioral transformation to kids. Our treasured volunteers play a vital role in our mission to children and families.

Once we receive your completed application, we will contact you to arrange for an interview so we can identify a service area that aligns with your interests and talents. A background check will be conducted on all board members, volunteers, and interns who have access to children or sensitive agency information. The results of your background check and answers on this application will be kept confidential.

* First Name

* Last Name

* Preferred Name

* Address

* City

* State

* Postal Code

* Phone

* Email

* Gender

* Date of Birth

* How did you hear about Nurturing Change?

* Why do you want to volunteer for Nurturing Change?

* What do you hope to personally gain from your volunteer experience?

In each of the following drop down menus, please select any and all of the volunteer opportunities in which you would consider serving:

Administration/Leadership

Other Volunteer Selections

If you selected "other," please describe in what way you would like to volunteer

* Please list experience, training, or credentials you have pertaining to the options you checked above.

* Our volunteer opportunities are project based, so our volunteers must be available to serve consistently and see a project to completion. Will that work for you?

* What is the absolute minimum number of hours you would be able to volunteer each week?

* What days are you available? (Please select all that apply.)

* Are there any exceptions to your scheduling preferences listed above, or any other scheduling needs that you would like for us to consider?

* Please describe any health issues or physical limitations that we should be aware of.

* Do you have any allergies? If yes, please list below and indicate whether you carry an epi pen.

* Please list the name, phone number, and relationship for your emergency contact

* Please provide the name, email, and phone number for TWO character references.

* What is your favorite color?

* What are some of your favorite treats? (snacks, candy, etc.)

* What area some of your favorite things, activities, and hobbies?

* How do you prefer to be recognized for your service to Nurturing Change?

* Do you consent to having your name used to promote Nurturing Change?

* Do you consent to having your photograph used to promote Nurturing Change?

As a volunteer of Nurturing Change, I agree to abide by all policies and procedures as spelled out in the volunteer handbook. I agree that all work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. I acknowledge that typing my name into the signature line below qualifies as my electronic signature.

* Signature

* Today's Date