Rise After School Volunteer ApplicationThanks for your interest in volunteering with Rise After School!Please complete the form below to begin the application process. Name * First Name Last Name Email * Phone * (###) ### #### Briefly describe how you heard about Rise Richmond (formerly CHAT) and/or Rise After School. * Briefly describe your motivation for involvement with our program. * Briefly describe your experience with Christian faith. * Are you currently enrolled as a student? * Yes No If yes, what school do you attend? Are you seeking to obtain volunteer hours for a degree program, community service, or other requirement? * Yes No If yes, please name the program. Availability * Check all that apply. Monday 3:00–6:00PM Tuesday 3:00–6:00PM Wednesday 3:00–6:00PM Thursday 3:00–6:00PM Do you have any previous experience working with children? Check all that apply. Adult family member Education (teacher, counselor, principal, etc.) Social worker, counselor, or therapist Children's/youth ministry Overnight camp counselor or staff Other If you selected "Other," please describe. Please indicate any relevant certifications and/or licenses. CPR/First Aid Mental health Other If you selected "Other," please describe. Are you a minor? If yes, a parent or legal guardian must complete a parental release form. Yes No All prospective volunteers are required to have a complete background check prior to program participation. * "I give my consent for Rise Richmond, through its independent contractor, Sterling Volunteers, to run a background check on me prior to any service to the organization." Yes No Full Legal Name (First, Middle, Last) * Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations such as a non-reckless speeding ticket)? * Yes No Has your conduct with children, youth, or adults ever been cause for investigation, arrest, or any legal proceeding by a social services agency, child abuse registry, or law enforcement authority? * Yes No Has your personal or professional interaction with children ever led to disciplinary action by an employer, church, or other organization? * Yes No If you answered "Yes" to any of the three questions above, please explain (or indicate your desire to discuss further with a Rise After School staff member). Today's date * MM DD YYYY Thanks for submitting your application! A member of our team will contact you soon.
