Treehouse Volunteer Application

Return to: Family Services Coordinator

151 N. Volutsia Wichita, KS 67214

316-686-2600

Personal Information

First Name______Last Name ______M.I. ____ Other______

D.O.B. ______

Address ______

Primary Phone Number ______

Email Address ______

For grant purposes only

Race/Ethnicity

African American Asian Bi-Racial Caucasian Hispanic Native American

Religious Affiliation, if any ______

Background Information

Education

  • Highest Level Completed ______
  • Course of Study/Degree Earned______
  • Special Skills/Certifications______

Employment

  • Current or Former Employer ______
  • Position Held ______
  • Duties Performed ______

Volunteerism-Interests

Please list your volunteer experience in the past two years.

Agency / Dates / Duties

How did you hear about The Treehouse? Why do you want to volunteer here?

______

What are some of your interests/hobbies?

______

Criminal History

Have you ever been convicted of a misdemeanoror felony? Yes ______No ______

If yes, please explain the charge including the month/year of conviction ______

If yes, please be aware that our policies may prevent us from placing you as a volunteer at The Treehouse. In order to volunteer at The Treehouse an individual must NOT have any charges (misdemeanor or felony) related to assault, battery, rape, burglary and/or fraud. We are required to run a background check on all volunteers.

Emergency Contact

First Name______Last Name ______Phone ______

Address ______

E-mail Address______Relationship ______

References(Please list a minimum of three professional or non-family references.)

First Name______Last Name ______Phone ______

Address ______

Email Address______Relationship ______

First Name______Last Name ______Phone ______

Address ______

Email Address______Relationship ______

First Name______Last Name ______Phone ______

Address ______

Email Address______Relationship ______

Treehouse Volunteer Position Descriptions

Basic qualifications/requirements for all volunteer positions at The Treehouse…

  • No court, diversion, or housing volunteering accepted.
  • Fill out a volunteer application.
  • Pass a background check.
  • Interview with Family Services Coordinator.
  • Able to stand, bend, climb, and lift at least 20 pounds.
  • Working knowledge of computer programs (Microsoft Word, Excel, etc.) and basic office equipment.
  • Minimum age of 18 years old.
  • Females only.
  • One year commitment to a weekly shift (only exception is for Donation Processors).

Shifts for all volunteer positions at The Treehouse (only exception is for Mentors).

  • Monday 10:00-12:30, 12:30-3:00
  • Tuesday 10:00-12:30, 12:30-3:00
  • Wednesday 10:00-12:30, 12:30-3:00, 3:00-5:00
  • Thursday 10:00-12:30, 12:30-3:00

Front Desk/Client Advocate Volunteer

  • Greet moms, presenters, donors, etc. that come in the building.
  • Answer multi-line phone.
  • Check moms in using our computer program.
  • Basic computer knowledge including Microsoft Word, Excel, etc.
  • Assist moms wanting to watch an educational video or turning in homework.
  • Basic office work such as filing, making copies, etc.

Store Desk Volunteer

  • Assist moms while shopping in the thrift store.
  • Stock store and keep it tidy.
  • Sort and put away incoming donations by size, gender, and season.
  • Check out moms when they complete their shopping.
  • Fill out receipts, collect and count change.

Donation Processor

  • Greet donors and give them a tax receipt.
  • Sort and put away incoming donations by size, gender, and season.
  • Price donations so they are ready to put in the thrift store.
  • Package diapers.
  • Weekly commit not required, will work with Family Services Coordinator to establish schedule.

Mentor

  • Establish a one-on-one relationship with a Treehouse mom in the Mentoring Moms Program.
  • Assist moms in making goals related to personal growth, parenting, school, work, etc.
  • Assist moms in finding resources to accomplish her goals.
  • Fill out paperwork documenting mom’s goals, action plan, progress, contact time, resources used, etc.
  • Schedule will vary based on the needs of the mom, approximately 8-10 hours per month.

Interested Position______Interested Shift/s ______

Treehouse Volunteer Application Disclaimer

If accepted as a Treehouse volunteer, my signature below indicates that I understand and agree to the following terms:

I understand that all information on this application is true and complete. I understand that any falsification, omissions, or misleading information will be considered just cause for immediate dismissal. I further understand there may be no positions available but will be notified when a position opens up.

I agree and will abide by the Code of Conduct as stated below:

  • I have no direct or indirect interest in the assets, leases, business transactions or professional services of The Treehouse except in the course of my volunteer duties. I am not receiving payment for my volunteer duties at the agency. I will not exchange money or gifts with staff or clients of the agency.
  • I have not and will not conduct private practice or the business of my employment on agency premises.
  • I shall maintain only professional relationships with clients of the agency. I will not meet with clients off agency property except during organized agency activities.
  • I shall maintain confidentiality of agency business and all information about clients except as required by law.
  • I shall discuss with the Family Service Coordinator any concerns or questions I have regarding the Code of Conduct.

I agree that The Treehouse may use any photographs, videos, or voice recordings of me while volunteering, as well as, written statements for the purposes of publications, marketing, and/or advertising.

I authorize my references listed this volunteer application to give The Treehouse any and all information concerning my previous employment, and any information they may have personal or otherwise. I release all parties from all liability for any damage or claim that may result from furnishing information to The Treehouse.

I understand that I am free to resign at any time and The Treehouse reserves the right to terminate my volunteer position at any time, with or without cause and without prior notice.

I authorize The Treehouse to seek emergency medical treatment in case of accident, injury, or illness. I further agree that The Treehouse may call my Emergency Contact person if such accidents, injuries, or illness occur on Treehouse property.

Applicants Signature ______Date ______

Print Name ______

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