Individual Volunteer Application Form

DO NOT Print This Application. Printed applications will NOT be accepted at the main office.

General Contact Information

Last name First name M.I.
Address one
Address two
City State Zip code
Home phone
Cell phone
Birth date
E-mail address

Emergency Contact Information

Name
Phone
Relationship

Volunteer Information

Are you required to volunteer to satisfy a school requirement?
 YES  NO

School
Teacher
Hours needed
Due by

Include teacher's school address, e-mail or fax number where your completed hour log may be sent.

Are you required to volunteer to satisfy a court order? (Community Corrections, Diversion)
 YES  NO

Hours needed
Due by

If hours are court-ordered, is this a first time offense?
 YES  NO

Please list charge(s) of current and previous offense(s):

Please list a contact name with address, e-mail, or fax number where your completed hour log may be sent. (e.g.: Community Corrections Officer, Diversion Case Manager, Lawyer, etc.).

Are you required to volunteer for an Arbor E&T program?
 YES  NO

How many hours are you required to complete per week?

Case Manager's Name:

Case Manager's Direct Phone Number:

If you are NOT volunteering for school, a court order, Community Corrections, Diversion, or for an Arbor E&T program, please select your reason for volunteering from the following list:

Please list your strengths and skills (i.e.: customer service, data entry, custodial, computer skills, retail experience, etc.)

Volunteers with disabilities or other special needs

Please list any special accommodations you may need to assist you while volunteering:

In order of preference, please number the top two locations at which you would like to volunteer:

4555 Vine Street (Near 48th and Vine) - Retail Store 1
Edgewood Shopping Center (5500 S. 56th Street) - Retail Store 2
512 Grant Ave (York, Nebraska) - Retail Store 4
1700 S. 17th Street (17th and Sumner) - Retail Store 6
3910 N. 27th Street (A few blocks South of Superior) - Retail Store 7
1731 "O" Street (17th and "O") - Retail Store 8
Main Office - 2100 Judson Street


Please thoroughly read through the policies below. They will be further discussed at the Volunteer Orientation if you have any questions or concerns.

Honesty Pledge

Goodwill is a non-profit agency whose mission is to provide job opportunities and job training. The general public contributes donations for resale and the income received from the retail stores supports our employment programs. As volunteers, you have the responsibility to our donors to uphold the highest level of ethics and integrity by receiving the maximum amount from their donations. Therefore, so there are no misunderstandings, the following list gives examples of situations considered theft:

  • Negotiating prices and/or altering prices for anyone including employees at any time on any item is theft. Anyone who negotiates or alters prices is stealing from Goodwill.
  • Holding items for anyone including employees at any time except for openly understood agency business, is theft. Anyone who holds back or hides items is stealing from Goodwill.
  • Removing items from the store or dumpster for personal use or gifts without proper payment is theft.
  • Anyone who purchases items for resale or uses employee discount for friend's purchases is stealing from Goodwill. Purchases made by those handling merchandise must occur at a location where no hours are worked for that day.
  • Any situation considered abuse of time or cash handling situations, such as clocking in then getting ready for work or frequent cash register drawer short/over is considered stealing.
  • Observing or having knowledge of any of the above situations and not reporting them to supervisors or administration is considered stealing.

Goodwill consults the police when theft is suspected. It has usually been the case that employees talk freely to police, telling them what they have seen and heard in order to protect themselves. To keep yourself above suspicion, don=t do anything that is or looks like the above situations.

I pledge with my signature below that I will not negotiate, alter prices or hold items for anyone and that I will not take items without paying the proper price for them. I further pledge that I will not permit others to steal from Goodwill in any manner with my knowledge. I understand that involvement in any of the above actions could result in prosecution or disciplinary measures up to and including termination. If terminated for any of the reasons listed above, I understand that I may delay the completion of my volunteer hours or my hours may be voided altogether.

REQUIRED FIELD
By clicking here I am stating that I have read and fully understand the Honesty Pledge. If I do not abide by this policy, I understand that it will result in the termination of my volunteer work.


Volunteer Responsibilities

Attendance: Regardless of the reason for absence or tardiness, you must notify Goodwill in advance for each day you are absent or tardy. If you are unable to call in yourself, you are responsible for having someone call in for you. It is the volunteers responsibility to set a schedule with the Team Leader.

Dress Code: Goodwill is a conservative agency so individuals are expected to dress in good taste and appropriately for the assigned job function. Cleanliness and proper undergarments are required at all job sites. Inappropriate clothing will not be tolerated. This includes clothing with inappropriate photos, verbiage and alcoholic beverage/drug endorsements. Closed-toed and closed-heeled shoes must be worn at all times while volunteering. Please wear clean black pants or jeans with an appropriate shirt or blouse. During warmer weather, walking style shorts may be worn if they are hemmed and come no more than two inches above the knee in length. No tank tops, tube tops, or midriff shirts are allowed. Business attire is required in administrative and customer service areas.

Code of Conduct: Inappropriate speech or gestures will not be tolerated. Failure to treat fellow workers and customers with respect will not be tolerated. Volunteers may not listen to an MP3 player, talk or text on a cell phone, or wear headphones during service. Volunteers are expected to follow all policies and procedures implemented by Goodwill Team Leaders and staff. All volunteers serve on a one-strike basis; there are no second chances.

Confidentiality: Any information concerning the business of Goodwill, its program participants, suppliers, subcontractors, dealers, employees, or personnel associated with it is confidential. No one is to divulge internal information about Goodwill to outsiders, including the media or government representatives, without approval from the Chief Executive Officer or designee. If approached by someone seeking confidential information, you must immediately consult with your supervisor.

Drug-Free Work Place Policy: It is Goodwill's desire to provide a drug free, healthy, and safe work place. To promote this goal, everyone is required to report to work in appropriate mental and physical condition in order to perform their jobs in a satisfactory manner. While on Goodwill's premises and while conducting business activities related to Goodwill off the Goodwill premises, you may not use, possess, distribute, sell, or be under the influence of alcohol or illegal drugs.

Shopping Policy: Volunteers are not permitted to shop at the store that they volunteer at on the same day that they log volunteer hours. Volunteers may only shop at the store they volunteer at on their day off, or they may shop at any other Goodwill retail location at which they do not log volunteer hours.

Smoking Policy: All Goodwill properties are non-smoking. Smoking is prohibited inside and around the perimeter of the building. A 10 minute smoke break may be given for every four (4) consecutive hours of volunteer service completed in one day, if available. Smoke breaks are not guaranteed and must be taken off of Goodwill property on a public sidewalk or other public area.

Notice of No Personal Loss:Goodwill shall not be responsible for the loss or theft of personal belongings. Your own insurance must cover any personal losses that may occur while you are on Goodwill property. By signing this form you are fully aware that Goodwill is in no way liable for insurance coverage on any personal losses that may occur while volunteering at Goodwill. You may not listen to an MP3 player or wear headphones during service. It is not recommended that you bring your cell phone with you into the store. If you must bring your cell phone it is required to be on vibrate or silent mode and you may not text or talk on your phone while you are volunteering. If you need to take a call, you may request to take a break. Back packs and large bags are not allowed.

I understand my responsibilities listed above. I understand that if I do not comply with the above policies, my volunteer hours could be suspended and/or terminated.

REQUIRED FIELD
By clicking here I am stating that I have read and fully understand the Volunteer Responsibilities. If I do not abide by this policy, I understand that it may result in the termination of my volunteer work.


Volunteer Release of Information

I authorize Goodwill to release information to the court, organization, school, or individual that I have listed above regarding my volunteer hour logs, evaluation forms and other information pertaining to my volunteer work.

This release terminates one year following completion of the volunteer hours.

REQUIRED FIELD
By clicking here I verify that I have read and fully understand this release of information and I am confirming my authorization.


Initial Verification

By initialing below I verify that the information I have entered on this form is correct to the best of my knowledge. I promise to attend the Volunteer Orientation and abide by all of Goodwill's policies. I understand that Goodwill may terminate my volunteer work at any time and that Goodwill cannot guarantee that volunteer hours will be available, nor do they guarantee that I will complete my hours by my specified due date. (By typing your initials below, you are authorizing your signature to be taken electronically, which holds the same value as your written signature.)

REQUIRED FIELD

DO NOT print this application. Printed applications will NOT be accepted at the main office. After clicking the "SUBMIT" button below, you will receive further instructions regarding attending the mandatory Volunteer Orientation.

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