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Date *

Volunteer Type *Permanent/Regular VolunteerTemporaryCourt Ordered Community ServicePlease check which applies

Personal Information

Full Name *

Preferred Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Email Address *

Add me to the mailing list

Phone *

Evening Phone Number

Check email often?YesNo

Weekends

How did you learn about Helping Hands? *

Do you have any related experience of abuse, abandonment, and/or neglect?YesNo

Please explain.

Why would you like to be a volunteer with Helping Hands, Inc.? *

Please list any other past or present volunteer activities that you are/have been involved with.Include the agency or program and describe the volunteer duties performed.

Can you provide support in the following areas?Administrative Duty (filing, answering phones, mailings, etc.)Clothing Warehouse (sorting, storing, and hanging clothes)Birthday Party - provide cake, decorations, and games

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Please list two (2) references

First Reference

Name

Relationship

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Other Phone

Second Reference

Name

Relationship

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Other Phone

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All of the information provided herein is true. I understand that by applying and completing the attached forms, a criminal background check will be made with the files of the South Carolina Law Enforcement Division (SLED) and The Department of Social Services (DSS) Central Registry. I also understand that as a volunteer I will not be considered an employee and will not be compensated for my services.

Signature

Name

Date

Volunteer Confidentiality Agreement

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In your volunteer work with Helping Hand, Inc. you will have access to information that is considered confidential. The clients that we serve often share personal information about their families and themselves. Because you are bound by state laws regarding confidentiality, you are not permitted to discuss this information or share client identities with anyone. The only exception is reports of suspected child abuse. We are relying on your cooperation in this matter because we consider you a
member of our professional team. Failure to observe this policy will result in immediate termination of your services with Helping Hands, Inc.

By signing this agreement, I understand that I am legally and morally bound to maintain strict confidentiality as outlined in the South Carolina Code of Laws, Section 207690.

Name

Date

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Before hitting send, please ensure to send the completed central registry form, along with payment, directly to our facility: P.O. Box 503, Aiken, SC 29802.

I have mailed the form and paymentI will mail the form and payment

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