Group LEADER Volunteer Application

Volunteer Group Leader or Special Event Application & Consent:
This application should be completed by the group leader or coordinator for any Service event with Hope Farm or the Hope Farm grounds, program needs, supervision of children, or students. This is not an employment application. The purpose of this form is to help our volunteer program assist in the creation of a safe environment for children or students who participate in the programs of Hope Farm or use Hope Farm facilities.

Today's Date

HF Campus

Volunteer

Group Coordinator's Information

Name

This address will receive a confirmation email

Phone

Address

Gender

Male Female Option

Birthdate

DL #

DL State

Copy of DL

Upload (8MB)

T-Shirt Size

S M L XL XXL XXXL

References:
*Please list 2 references and a corresponding email or cell number.

Reference 1:

Reference 2:

Group or Organization Info

Organization Name

Organization Address

Organization Phone #

What type of organization is this?

Educational Nonprofit Business Other

Approximate Number of Volunteers

1 - 10 10 - 20 20 - 30 30 - 50 100+

Statements of Understanding

Hope Farm's Vision Statement *

Vision | Cultivating a future and hope for fatherless boys.

I have and read understand the VISION of the ministry.

I Agree

Hope Farm's Mission Statement *

Mission | Hope Farm is a leadership program guiding at-risk boys to become Christ-centered men of integrity.

I have and read understand the MISSION of the ministry.

I Agree

Experience: Please list previous volunteer work or employment involving children or students (List the organization’s name, location, phone, and a contact person familiar with your work. List the type and dates of work.

List any talents, vocations, preparation, training or other experiences that have equipped you to work with children or students:

Child Safety

Please answer the following questions.
We understand that not all groups will be working directly with our students, but we require all of our volunteer group leaders to answer the child safety questions. We understand that answers in this section may be private and deeply personal, and we will protect your privacy in every possible context. It is the position of Hope Farm that suspicions or allegations of child abuse or neglect will be reported to relevant state authorities.

Why do you want to work with children or students at Hope Farm?

Do you have a preference concerning the age of students with whom you would like to work? Check all that apply

K-2nd 3rd - 5th 6th - 8th 9th - 12th Alumni

What is your Discipline Style?
CLICK to view the descriptions of the 5 Discipline Styles.

My primary Discipline Style is:

Boundary-based discipline Gentle discipline Positive discipline Emotion-coaching Behavior modification

Anger & Sadness Emotional Responses: Many people react to anger in three different ways; expression, suppression, or calming. When reacting to anger, it's important to do so in a way that won't harm yourself or others. CLICK HERE for More Info on reactions when angry.

When you are unhappy, angry, or emotional about a person or circumstance, how do you respond?

expression suppression calming Unsure

Have you experienced any significant physical or emotional stressors within the past year, such as the loss of a parent, spouse, or child, extreme ill health, or any emotional or physical crisis? If so, please briefly explain. This question is aimed at SITUATIONAL circumstances, and is optional.

Have you ever physically or sexually abused a child?

Yes No

Has someone ever accused you of physically or sexually abusing or molesting a child?

Yes No

Do you consider yourself to have been physically or sexually abused as a child?

Yes No

If you answered yes to the previous question, would you consider counseling or resources (available through Hope Farm) to address any resulting emotional or spiritual harm or damage?

Yes No Maybe n/a

Release Form

I authorize Hope Farm to contact all individuals, organizations and references listed on this Safety Application Form in order to verify the information I have provided. I agree to release from liability any person or organization providing information related to me, including those persons I have listed as references, as well as contact persons from my previous volunteer work or employment with children. I specifically authorize Hope Farm to undertake a criminal background check concerning my past. I understand and agree that any information received from the background check and application verification will not be disclosed to me except as required by law, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form. By clicking *I agree*, I certify and affirm that the information I have given on this form is true, complete, and correct in all respects.

I agree to the above release and use this feature to represent my signature

I agree

Volunteer Statements and Agreed Code of Conduct

Please check each of the following statements:

Hope Farm Statement of Faith

It is imperative that all persons involved with HOPE Farm uphold a high level of excellence in Christian standards. There must be observable evidence of belief in and acceptance of Jesus Christ as Lord and Savior. Volunteers, regardless of level of service, and all others associated with or representing HOPE Farm in any way, must be supportive of the spiritual position of HOPE Farm.

I have read the statement of faith and...

I agree with Hope Farm's Statement of Faith. Though I do not agree, I will be respectful of the organizations stance and will not speak to the contrary when working with or speaking about Hope Farm.

I am writing my full name as the representation of my digital signature.

Group LEADER Volunteer Application - Hope Farm

Description

Group LEADER Volunteer Application - Hope Farm

Description

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