Volunteer

VOLUNTEER AGREEMENT

Thank you for volunteering your services to the needs of the ones we serve. All volunteers must be at least 21 years of age and approved by the leadership of SOCM. Once approved, your name will be added to a list of volunteers. This agreement will expire one year after implementation.

Chaperones

Only approved volunteers can serve as chaperones for outreach sponsored events. Sign up is done online or directly through SOCM office and approved by the leadership on a ”service to service” basis.

In connection with my desire to provide volunteer services to the Souled Out Christian Ministries, SOCM, I consent to and authorize the SOCM and its agent to conduct a criminal history background check. This form does not authorize the SOCM or any agent to perform any type of background check other than a criminal history check. I understand I have the right to review and challenge any negative information that would adversely impact a decision to allow me to volunteer at SOCM. I acknowledge that it is within SOCM’s sole discretion as to whether I am allowed to volunteer services for them.

CONFIDENTIAL

Criminal History Record for Volunteers

All information requested below is necessary to obtain your criminal history record information.

Field is required!

Gender

MaleFemale

Field is required!

Social Security Number

Field is required!

* I understand that the information that I am providing about age, sex, and ethnicity will not be used to determine eligibility for volunteering but will be used solely for the purposes of obtaining criminal history record information.

Please answer the following questions related to your criminal history (if any):

1. Have you ever been convicted or pled guilty before a court for any federal, state or municipal criminal offense? (excluding minor traffic misdemeanors)

If yes, please provide details below.

YesNo

Field is required!

Details of Conviction:

Field is required!

2. Have you ever received deferred adjudication or similar disposition for any federal, state or municipal offense?

If yes, please provide details below.

YesNo

Field is required!

Details of Adjudication:

Field is required!

3. Have you ever received probation or community supervision for any federal, state or municipal offense?

If yes, please provide details below.

YesNo

Field is required!

Details of Supervision:

Field is required!

4. Have you ever been convicted of any criminal offense in a country outside of the jurisdiction of the United States?

If yes, please provide details below.

YesNo

Field is required!

Details of Convictions Outside USA:

Field is required!

5. As of the date of this consent form, do you have any pending charges against you?

If yes, please provide details below.

YesNo

Field is required!

Details of Pending Charges:

Field is required!

List other states of residence:

Field is required!

In case of emergency, contact:

Field is required!

I certify that all information provided in this form is true, correct, and complete. If it is later shown that any information is incorrect or incomplete, I understand that this would constitute grounds for denying me the opportunity to provide to SOCM voluntary services.

I understand that I am offering my services to SOCM without compensation, and I certify that I am at least 21 years of age.

I understand that all volunteers are expected to conduct themselves in a respectable manner at all times and serve as role models for the ones we serve. I will not use alcoholic beverages, use tobacco products, use or possess controlled substances or dangerous drugs, use inappropriate language, have inappropriate contact with anyone, or otherwise display inappropriate behavior. Volunteers are subject to the same standards of conduct as employees of the SOCM. Proper identification will be worn at all times while on will SOCM during any outreach service.

Interests: Please tell us in which areas you are interested in volunteering

Submit

VOLUNTEER AGREEMENT

Chaperones

CONFIDENTIAL

Criminal History Record for Volunteers

Gender

Ethnicity

Please indicate days available:

* I understand that the information that I am providing about age, sex, and ethnicity will not be used to determine eligibility for volunteering but will be used solely for the purposes of obtaining criminal history record information.

Please answer the following questions related to your criminal history (if any):

1. Have you ever been convicted or pled guilty before a court for any federal, state or municipal criminal offense? (excluding minor traffic misdemeanors)

If yes, please provide details below.

Details of Conviction:

2. Have you ever received deferred adjudication or similar disposition for any federal, state or municipal offense?

If yes, please provide details below.

Details of Adjudication:

3. Have you ever received probation or community supervision for any federal, state or municipal offense?

If yes, please provide details below.

Details of Supervision:

4. Have you ever been convicted of any criminal offense in a country outside of the jurisdiction of the United States?

If yes, please provide details below.

Details of Convictions Outside USA:

5. As of the date of this consent form, do you have any pending charges against you?

If yes, please provide details below.

Details of Pending Charges:

List other states of residence:

In case of emergency, contact:

I certify that all information provided in this form is true, correct, and complete. If it is later shown that any information is incorrect or incomplete, I understand that this would constitute grounds for denying me the opportunity to provide to SOCM voluntary services.

I understand that I am offering my services to SOCM without compensation, and I certify that I am at least 21 years of age.

Interests: Please tell us in which areas you are interested in volunteering

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