Community Bridges Volunteer Application

Community Bridges is committed to strengthening our diverse community through innovative human services.

Since 1977, we have been a catalyst for a brighter future by opening doors, offering hope and providing a hand up to the people of the Central Coast.

Thank you for your interest in volunteering with Community Bridges!

* Required

Today's Date*

MM slash DD slash YYYY

Last Name*

First Name*

Middle Initial

Address*

Street Address City State ZIP Code

Phone Number*

Email*

Emergency Contact*

Relationship to you*

Emergency Contact’s Phone Number*

Are you over the age of 18?*

Yes

No

How did you find out about Community Bridges?

Which programs are you interested in volunteering with? Please check one or more programs.*

Additional information can be found at communitybridges.org/programs

Administration (ADM)

Elderday (ELD)

Early Education Division (EED)

Family Resource Collective (FRC)

Meals on Wheels (MOW)

What language(s) do you speak?

What days and hours of the week are you available?

Please attach a resume and/or briefly describe your background and any specific interests you might have with Community Bridges.

Limit 1 file attachment. Allowed file formats: pdf, doc, docx, ppt, pptx, pps, ppsx, odt, jpg, jpeg, png, gif.

Max. file size: 10 MB.

Criminal History Disclosure

Note: An applicant with a sealed or expunged record may answer "no" with respect to any inquiry herein relative to convictions. In addition, any applicant may answer "no" with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services that did not result in a complaint transferred to the superior court for criminal prosecution. Additionally, no applicant will be denied simply based on an affirmative response herein; factors such as the type and seriousness of the crime, the frequency of the violations, the age at the time, the entire work and education history, and the nature of the opportunity sought will be taken into consideration.

*Applicants may answer "no" to the questions below if they were convicted of any misdemeanor marijuana related offenses that are more than two years old.

1. Is your driver's license restricted or suspended?*

Yes

No

2. Have you been convicted of a felony within the past seven years?*

Yes

No

3. Have you been convicted of a misdemeanor within the past five years (other than a first conviction for any of the following misdemeanors: public intoxication, DUI, simple assault, speeding, minor traffic violations, marijuana related offenses*, affray or disturbance of the peace)?*

Yes

No

4. Have you completed a period of incarceration within the past five years for any misdemeanor (other than a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, marijuana related offenses*, affray or disturbance of the peace)?*

Yes

No

5. Please state whether you were convicted more than five years ago for any offense (other than a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, marijuana related offenses*, affray or disturbance of the peace)?*

Yes

No

Please provide the following information on a separate page and attach it here: (1) date of conviction, (2) charge, (3) location and (4) the sentence and/or outcome.

Limit 1 file attachment. Allowed file formats: pdf, doc, docx, ppt, pptx, pps, ppsx, odt, jpg, jpeg, png, gif.

Max. file size: 10 MB.

CERTIFICATION

I certify that the information provided by me on this Application, accompanying documents, or any attachments that I have supplied, is true, correct and complete to the best of my knowledge and that any misrepresentation, omission, falsification or failure to disclose pertinent information will be cause for dismissal if I am accepted as a volunteer.

I authorize, consent and hold harmless my current and prior employers, educational institutions and persons or organizations named in this Application (or accompanying documents) to release any information to Community Bridges that may be required to make a decision for my volunteer services. This authorization will serve as a release of any and all information and for this purpose, a photocopy shall be considered an original and valid.

I understand and agree that this Volunteer Application is not a contract and that any acceptance of volunteering is not a contract for a definite term. I understand that the Volunteer Application will remain active for six (6) months. After that time, if I desire further consideration by Community Bridges, I will renew my Application in writing or in person.

Signature of Applicant (type full name)*

Date*

MM slash DD slash YYYY

Authorization Statement for Criminal History Record Check - Community Bridges

I hereby Authorize Community Bridges to obtain information pertaining to any charges and/or convictions I may have had for violation of municipal, county, state or federal laws. This information will include, but not be limited to, allegations regarding, and convictions for, crimes committed upon minors. I understand that this information will be gathered from any law enforcement agency of this state or any state or federal government, or from third-party providers of information originally obtained from law enforcement or court records.

I understand that I will be given an opportunity to challenge the accuracy of any information received that appears to implicate me in criminal activities. To facilitate this challenge, I will be told the nature of the information and the agency from which it was obtained. It will be my responsibility to contact that agency. I further understand that until Community Bridges receives notification from that agency clearing me, my intern application will be deferred.

As an applicant for an internship position, I hereby attest to the truthfulness of the representations I have made. Except as I have disclosed, I have not been found guilty of, or entered a plea of nolo contender or guilty to any offense. Further, other than for the offenses I have disclosed, I have not had a finding of delinquency or entered a plea of nolo contender or guilty to a petition of delinquency under the juvenile laws of this state or any other state.

I understand that I must be truthful and, if any statement I have made is found to be false, I will be denied the position for which I am making application or, if already accepted, terminated from my position.

Signature of Applicant (type full name)*

Date*

MM slash DD slash YYYY

Full Name of Applicant (including middle name if applicable)*

Phone Number*

Email*

Address*

Street Address City State ZIP Code

Date of Birth*

MM slash DD slash YYYY

Gender

Social Security Number (required for background check; can be provided at a later time)

Upload your Driver's License (to be completed by organization: identity verified with government issued picture identification)*

Limit 2 file attachments. Allowed file formats: pdf, doc, docx, ppt, pptx, pps, ppsx, odt, jpg, jpeg, png, gif.

Drop files here or

Max. file size: 10 MB, Max. files: 2.

Would you like a copy of your background check sent to you?

Yes

No

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Name

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