Group Volunteer Application - ICCF Community Homes

Main Contact Information
Please designate a main contact for the volunteer group who will be in charge of communicating with ICCF and who will coordinate and provide oversight for the volunteers.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Primary Phone
Secondary Phone

Group Information
Group/Organization Name
Affiliation (Church, Business, Club, etc.)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Group Size
Age Range
Volunteers
Please list the first and last name of each volunteer.

Volunteer Experience
Please share any relevant volunteer experience your group has:
Volunteer Interest*
- Child Care: ICCF offers free childcare to clients taking financial empowerment classes. Volunteers help by playing with, reading to, making art with and having fun with the kids! Commit to supplying volunteers once or twice a month (Tues nights, Thurs nights or Sat mornings)
- Construction/Demolition/Landscaping: Help prepare our homes and buildings for renovation and ownership through building, light demolition, landscaping, and clean-up.
- Cleaning/Organizing at Family Haven: Assist with cleaning, organizing, yardwork, or painting at ICCF’s emergency shelter.
- Host a meal or event at Family Haven: Share your talents with families at ICCF’s emergency shelter by making a meal, leading a craft or game night for kids, or hosting an event (i.e. Pumpkin Carving or Back-to-school event)
Please share any experience, training, or qualifications held by members of your group, related to the volunteering your group is interested in doing:
Are there any physical, age, or other limitations that we should consider when assigning a project to your group (ex. 3 of the people in our group are unable to stand for more than 15 min. at a time)?

Insurance Policy
Volunteers are not covered by ICCF’s insurance policy. If you require any medical assistance as a result of your volunteer experience with ICCF, you and your insurance carrier are the primary respondents to the medical claim.
Do you have health insurance?
- Yes
- No
Name of Insurance carrier:

Confidentiality Policy
Volunteers may have access to confidential and privileged information and materials through their volunteer role at ICCF. Volunteers agree that they will not share any such information or materials with anyone within or outside the organization not intended to receive them.
Untitled*
- I consent
Media Policy
Periodically, ICCF takes photographs and videos of volunteers in action. I give ICCF its assigns, licensees, and legal representatives the right to use my name, photograph, video in all forms and media and in all manners for advertising, trade or any other lawful purpose, and I waive the right to inspect or approve the finished product, including written copy, that may be created in connection therewith.
Untitled*
- I consent

Background Check Policy
For some volunteer roles, ICCF is required to perform a background check. When this happens, the information provided here and obtained through the check will be held in strict confidence.
Name
First Last
Birthdate
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Driver's License Number
Have you ever been convicted of a crime (infraction, misdemeanor or felony)?
- Yes
- No
Please provide details:

Policy Consent
Volunteers 18 + years old:
- I have read and agree to ICCF’s Insurance, Confidentiality, and Photography policies and give ICCF permission to perform a background check on me.
Name
First Last
Date
Date Format: MM slash DD slash YYYY
Volunteers under 18 years old:
- I am the parent or guardian of the minor(s) named below and have the legal authority to execute the above release. I have read and agree to ICCF’s Insurance, Confidentiality, and Media policies and give ICCF permission to perform a background check if necessary on the individuals listed below.
Name
First Last
Date
Date Format: MM slash DD slash YYYY

Volunteer Application