LACF Volunteer Application

Thank you for applying to become a Volunteer. Below are the steps you’ll need to complete.

ALL: submit application

Mentors & Tutors only:

1. get fingerprinted
2. complete face-to-face interview
3. sign guidelines
4. get trained

Once you have completed your application, it will get submitted to Beth Winton, Volunteer Coordinator.  We will contact you about taking the next steps. If you have any questions about the application process, please contact Beth at bethw@lakeave.org or call 626.817.4507.

Volunteer Information

1. First Name*
2. Last Name*
3. Today's Date
4. Position(s) applying for
5. STARS Tutor STARS Activity Assistant
   Mentoring - Regular Mentor Mentoring - MOPS Mentor
   Office/Computer/Newsletter Homeless Ministry
   ESL/Community Education Prison Ministry
   Day Laborer Ministry
   Other (note below)
   
6. If "Other," please describe here
7. Current Address
   (street, city, state, zip)*
8. Permanent Address
   (if different from above)
9. Cell Phone
10. Home Phone
11. Work Phone
12. Email*
13. Date of Birth*
14. Driver's License #
15. Family Background
16. Single Married Divorced
17. Do you have Auto Insurance?
    (before you transport any students, LACF will need to see proof of insurance and make a copy of the original insurance card for our records.)
18. Yes No
19. Are you willing to attend all trainings associated with being a volunteer?
20. Yes No
21. Education Completed
22. High School College Graduate School

Current Education / Employment Information

1. School
2. # years at school
3. Major
4. Employer
5. # years employed
6. Title

Church Background

1. Church currently attending
2. # years at church
3. On average, how many times a month do you attend services there?
4. City & State
5. Phone
6. Pastor

Personal Faith

1. Tell us about your faith
2. In your opinion, what specifically characterizes a person walking with God?

Volunteer Information

1. How did you hear about Lake Avenue Community Foundation? If you were referred by an organization or person, please include their name here.
2. Briefly explain why you would like to volunteer with Lake Avenue Community Foundation.
3. Are you currently or have you been a volunteer in this capacity before? If so, in what setting, how long, and with whom?
4. What do you feel you would bring as a volunteer and what are you hoping to gain from being a part of Lake Avenue Community Foundation?
5. What fears do you have about volunteering?
6. Do you have any experience in the following (Please check all that apply)
7. Construction/ Handiwork SAT Prep Auto Mechanics Sports
   Art Cooking Photography Gardening
   Graphic Design Leading a Bible Study Dance Child Development
   Music Other
8. If "Other," please describe
9. What other skills/interests do you have that you're willing to share?
10. Do you have any friends that you think might be interested in hearing more about volunteering with Lake Avenue Community Foundation?
11. Yes No
12. If YES, please provide their contact information:

Personal History

1. Do you have (or have you had) any significant physical conditions or special limitations (diet, physical activities, major allergies, depression, prescription medication) that you feel we need to know about?
2. Yes No
3. If YES, please describe.
4. Have you ever been a victim of any form of child abuse?
5. Yes No
6. Have you ever seen a counselor or therapist for any reason (including addiction)?
7. Yes No
8. If YES, please describe.
9. Have you ever gone through treatment for alcohol or drug abuse?
10. Yes No
11. If YES, please describe.
12. Are you on any medication (including medical marijuana) that can impair your judgement?
13. Yes No
14. Have you ever had any arrest for any violation that resulted in a conviction, a plea of guilty or no contest, probation, community service, a summary report, or some other form of adjudication (other than a minor traffic violation)? Also, do you have any pending charges or are you under any type of legal investigation?
15. Yes No
16. Have you ever been accused of any kind of abusive behavior?
17. Yes No
18. If YES, please explain.

Personal References

1. Please provide the following information for a supervisor, a pastor / spiritual leader and a teacher / significant adult (non-peer, non-family) so that we can consult with them as refences. Please provide information for all three references.
2. Supervisor
3. Name
4. Phone
5. Address
6. Email
7. Relationship
8. Years Known
9. Pastor/Spiritual Leader
10. Name
11. Phone
12. Address
13. Email
14. Relationship
15. Years Known
16. Teacher of Significant Adult (non-peer, non-family)
17. Name
18. Phone
19. Address
20. Email
21. Relationship
22. Years Known

1. Is there any additional information you would like us to know about you in order to complete your application?
2. Yes No
3. If YES, please describe.
4. If you have any questions about any part of the application, please note them here so that we might be able to discuss them during our interview.
5. The personal information in this application will be held confidential by the Foundation staff. Thank you for taking time to consider your involvement at Lake Avenue Community Foundation.
6. By checking the box below you grant permission to have your photograph, image and/or likeness used in any & all LACF-related publications in all perpetuity.
7. I grant image-rights permission
8. I agree that all of the questions contained in the application are answered thoroughly to the best of my knowledge. And I understand that LACF is a Christian organization that seeks to unleash the God-given potential of youth academically, emotionally, and spiritually. I agree that, whether or not I have the same values and beliefs as LACF, I will not undermine these values and beliefs while serving under the name of LACF.
9. The typing of one's name equates to digitally "signing" this application.
10. Digital Signature (Name)*
11. Date Signed*

 

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