Please include information about your two most recent jobs.
I hereby apply as a volunteer with WAY Alliance. I understand WAY Alliance will interview me about my background, motivation, expectations, and other personal qualities that might have a bearing on whether I would be an appropriate volunteer. I further agree to submit my information to WAY Alliance so they can conduct a background check, which may include state-level and federal-level fingerprint-based searches, the Sex Offender Registry, and other pertinent Internet searches.
I understand that WAY Alliance will review my references and investigate any and all facts concerning my qualifications for becoming a volunteer. I certify that all information provided by me in this application is complete, true, and accurate. I acknowledge that intentional omission or falsification of information will be cause for non-acceptance or immediate dismissal at any time during the period of my placement.
I understand that WAY Alliance has to take the best interests of the youth into consideration first. Further, I understand that (1) I am not obligated, if called upon, to perform volunteer services applied for, and (2) WAY Alliance is not obligated to assign or to actively seek to assign me to a volunteer position.
I understand that the statements I make to the staff of WAY Alliance will be held confidential within the agency, unless disclosure is required by law. Specifically, I understand that incidents of child abuse or molestation, past or present, or threat of harm to oneself or others are issues that must be reported to proper authorities.
I understand that my application will not be considered unless it is complete and signed and until the required supplemental information is submitted and completed.
I agree to notify WAY Alliance immediately of any changes in the information provided in the application process, including, but not limited to, legal status, driving record, employment, address, phone numbers, name, or marital status. If I am applying to be a mentor or Resource Coordinator, I also agree to maintain automobile insurance during my tenure with WAY Alliance.
I understand that this application and any additional information gathered will remain the property of WAY Alliance.
FOR MENTOR, RESOURCE COORDINATOR, MATCH COORDINATOR, AND SMALL GROUP APPLICANTS ONLY: I understand that if I am confirmed as a volunteer, information about myself will be anonymously (without my name) shared with a prospective youth. I understand that if the youth is still in CPS care, that information may also be shared with the youth's foster parent(s), caseworker, or CASA to aid in determining a suitable match. Once a match is determined, my identity and any other information known about me may be shared with the youth, foster parent(s), casework, or CASA to ensure and aid in facilitating a safe and successful match relationship. If there are things about me that I do not want repeated, it is my responsibility to discuss this with WAY Alliance staff. I agree to keep information discussed with me regarding a potential match confidential. I will not discuss this information with any person other than the assigned staff of WAY Alliance.