Circle of Friends may be contacting your employer as a reference
Please list your last two jobs
Circle of Friends will need a copy of your insurance card and license for our files
Circle of Friends will obatin a copy of your driving record
Circle of Friends does not discriminate according to race, religion, physical handicap, sexual preference or economic status.
I hereby apply to become a volunteer with Circle of Friends. I understand the Circle of Friends 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 agree to supply Circle of Friends with a copy of my Oregon driver’s license with proof of automobile insurance. I further agree to undergo a fingerprint check so that Circle of Friends can do a criminal background check. I understand that Circle of Friends will review my references and will investigate any and all facts concerning my qualifications for becoming a volunteer. I certify that all of the 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 refusal of placement or immediate dismissal at any time during the period of my placement.
I understand that Circle of Friends has to take the best interest of the children into consideration first. Further, I understand that I am not obligated, if called upon, to perform the volunteer services applied for and the Circle of Friends has no obligation to assign or to actively seek to assign me to a volunteer position.
I understand that the statements I make to the staff of the agency will be held confidential within Circle of Friends, unless disclosure is required by law. Specifically, I understand that incidents of child abuse or molest, past or present or threat of harm to oneself or others are issues that must be reported to proper authorities.
I understand that certain information about me will be discussed with the parent/guardian of the child with whom I am matched. If there are things about me that I do not want repeated, it is my responsibility to discuss this with Circle of Friends staff.
I agree to keep information discussed with me regarding a potential match confidential. I will not discuss this information with any other person other than the assigned professional staff of Circle of Friends.
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 Circle of Friends immediately of any changes in the information provided in the application process, including, but not limited to legal status, driving record, job change, address change, telephone, name change or marital status. I also agree to maintain automobile insurance during my tenure with Circle of Friends.
This application and any information gathered will remain the property of Circle of Friends.