Volunteer Form Volunteer Inquiry Form Step 1 of 4 25% Thank you for your interest in volunteering with the BCCC Refugee Youth Project! Before you begin, make sure you have read and understood our availabile opportunities. Notes: BCCC is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sex, sexual orientation, national or ethnic origin, physical or mental disability, marital status, veteran status, or any protected class prohibited by law. Submitting this interest form does not guarantee your acceptance into RYP’s Volunteer Program. We will do our best to find a suitable volunteer work assignment based on your preferences and reach out to you based on our program needs! Please consider donating to RYP directly or starting a fundraiser on Facebook so we can increase our capacity If you have questions about this form or our programs, you may contact us at email@example.com or 410-558-3258. Basic InformationName* Ms.Mr.Mrs.MissDr.Prof.Rev. Salutation First Nickname Last Suffix Primary Email* Enter Email Confirm Email Secondary Email Primary Phone Number*Other Phone NumberOther Phone TypeHomeMobileBusinessPreferred method of contact (select all that apply): Email Phone Call Other Other Method of ContactBest time to reach you (select all that apply):* Morning Afternoon Evening Anytime Other Other Time to Reach YouPermanent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current or mailing address (if different from above) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Age Range*This is used strictly to identify who is required to get fingerprinted (18+) and/or eligible to become a youth mentor (21+) 17 or under18 - 2021 - 5556+Do you speak any languages other than English? Arabic Tigrinya Burmese Swahili Kinyarwanda Nepali Spanish Other: Other LanguageWhat is your level of fluency?How did you hear about RYP? High school or college network Online search/website Friends or family Business Volunteers Unlimited / Volunteer Central Idealist.org VolunteerMatch.org LinkedIn Facebook or Twitter Flyer Colleagues or professional network Event Other: How did you hear about RYP - otherEmergency Contact Name and Relationship to You:Emergency Contact Phone Number: Demographic InformationThe following information is optional and is intended for reporting and program support purposes – your responses do not determine placement in a volunteer position.I identify asFemaleMaleNon-BinaryDecline to stateAre you of Hispanic or Latino origin?YesNoWhat is your race?Select one or more of the following categories: African or African American American Indian or Alaska Native Asian White Native Hawaiian or Other Pacific Islander Educational, Professional, and Volunteer BackgroundAre you currently attending one of the following local high schools, community colleges, or universities? Please select your affiliation from the menu. If not, please choose “None of the above.”*None of the AboveArchbishop Curley High SchoolBaltimore City Community CollegeCatonsville High SchoolCommunity College of Baltimore CountyGoucher CollegeJohns Hopkins UniversityInstitute of Notre DameLoyola University MarylandNotre Dame Preparatory SchoolStevenson UniversityTowson UniversityUniversity of Maryland, Baltimore County (UMBC)Notre Dame of Maryland UniversityUniversity of BaltimoreUniversity of MarylandHighest Level of Education:*High School DiplomaAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate or other professional degreeNo degreeEducation*(Please list schools attended, degrees and diplomas earned, or years completed)Current Work Experience(please list company/organization, job title, and duties)List former employment here. Include dates, organizations and positions heldPlease provide a brief description of any current and past volunteer work you have done, including names of organizations, dates of service, and positions heldDo you have any relevant work or special skills that would help us in placing you in a volunteer assignment?Would you be willing to help collect donations, monetary or in-kind (e.g. school supplies), for the program through your workplace, school, community group, or other group?YesNoTell us more!If yes, please list organization(s) and type of donation(s) ReferencesPlease list two professional/character references that are unrelated to you (e.g. supervisor of paid/volunteer work, clergy, or teacher). If you are applying to be a mentor, please provide one additional reference. Reference #1 Name*Relationship to Reference #1*Reference #1 Email and/or Phone Number*Reference #2 Name*Relationship to Reference #2*Reference #2 Email and/or Phone Number*Reference #3 NameRequired for mentor applicants onlyRelationship to Reference #3Required for mentor applicants onlyReference #3 Email and/or Phone NumberVolunteer Availability and PreferencesTo help RYP determine an appropriate fit or program for you, please tell us more about your volunteering availability and preferences. If you need more information about our various volunteer opportunities, please refer to our website. If you are part of a local student group or educational partnership, your placement at a volunteer site may be pre-determined based on existing agreements and transportation arrangements. For example, if you are a Johns Hopkins Unersity student, your volunteer assignment will be at our Moravia Elementary School Program, unless you have a private means of transportation to volunteer at a different location. You can change or specify your preferences at a later date as well.Have you volunteered with RYP before?*YesNoWhich of our regular volunteer opportunities are you interested in?* After-School Program Volunteer Youth Mentor (8th-12th grade) Office Volunteer Other Volunteer OpportunitiesPlease check any additional areas of interest and RYP may contact you as these opportunities become available. Field trips Helping students apply for jobs or college Marketing/media or public relations Special events Fundraising ArtWorks Other OtherWhen are you available to begin volunteering?*How frequently can you volunteer?*Our regular volunteer opportunities (after-school tutors and mentors) require at least one time per week.One time per weekTwo times per weekDo you prefer to volunteer in one of the neighborhoods listed below? Select all that applyThe following areas are where the majority of our families live, but occasionally there are opportunities outside these areas. Northeast Baltimore (Moravia/Frankford) Southwest Baltimore (Catonsville) East Baltimore (Highlandtown/Hopkins Bayview) Baltimore County (Dundalk, Middle River, Essex) Other (please specify) Do you have a preference for working with a particular age group? Select all that apply* Elementary school (pre-K through 5th grades) Middle school (6th-8th grades) High school (9th-12th grades) How long are you willing to commit to volunteering?*We ask that volunteer tutors commit to one semester (10-13 weeks). Mentors must volunteer for one year or more.What days of the week are you available?Select all that apply Monday Tuesday Wednesday Thursday Friday Saturday Sunday What times are you available?Select all that apply Early in the day (9 am-3 pm) Afternoons (between 3-6 pm) Evenings (after 6 pm) Additional Comments about Your AvailabilityDo you have a car, current driver’s license, and insurance?YesNoWould you be able to transport refugees using your own vehicle?YesNoWhy are you interested in working with refugees?Is there a particular culture or group of refugees with which you would like to work and why?Are you participating in service-learning through a class?YesNoIf so, what class?If you have any special requirements for volunteering (e.g. time sheet for college credit, or work), please explain the details: Background Check Release and Criminal History DisclosureThe Refugee Youth Project believes that background investigations provide important information for determining a volunteer’s suitability for working with children. All offers for volunteer positions are contingent upon receipt of a successful child care criminal background screening. RYP will use the criminal history record solely for the purpose requested and cannot disseminate the record outside the receiving department, related agency, or other authorized entity. By checking this box, I acknowledge that I have read and agree to RYP’s Background Check Information and Release document and give permission for RYP to perform a check of my background, including: criminal record, past employment, and volunteer history, educational and professional status and personal references. I understand that if I am over the age of 18, I will be responsible for paying for my background check and that I will not be allowed to begin service until a background check is complete. Mentors may be required to pay $15-$60 for a background check. After-school program volunteers may be able to receive a free background check through the school system or may need to pay for their own background check.* I Acknowledge. Criminal History*Have you ever been convicted of a crime other than a minor traffic violation? YesNoPlease Explain*Note that listing previous criminal history does not automatically disqualify you from volunteering with the Refugee Youth Project. However, failing to list criminal history that then appears on a background check may disqualify a volunteer from serving with the Refugee Youth Project.Volunteering AgreementsPlease check below if you consent to the use of your oral/written statements and the use of your photograph(s) by the RYP for any non-commercial purpose associated with the program including, but not limited to, newsletters, news media coverage of RYP, and its programs and fund-raising. This is optional.* I Acknowledge. The information I have provided in this application is true and correct to the best of my knowledge. I acknowledge that if I have misrepresented the information in this application and/or fail to adhere to program guidelines, I may have my application approval withdrawn. I agree to participate in all required trainings, including periodic training meetings. I agree to abide by all the RYP rules and procedures, as stated by the RYP program and staff. I will abide by federal law requiring that children’s records remain confidential and any information obtained about a child, from his/her address to work habits, may not be disclosed to others except the child’s teacher, principal, guidance counselor, parents and/or legal guardian. I agree to honor these confidentiality requirements. I will abide by federal law requiring that if a student confides that he or she is the victim of sexual, emotional or physical abuse, I will immediately notify Child Protective Services as well as the staff at the Refugee Youth Project. I will also immediately notify staff if a student confides that he or she intends to harm to his/herself or others. To respect the privacy of children and families participating in our program, I will not share documents or photographs of RYP students without first requesting approval from RYP staff members. I will not exchange personal information (e.g. phone number, email address, social media information) with RYP students and families without prior approval from RYP staff.I acknowledge that I have read and agree to the terms stated above.* I Acknowledge. This iframe contains the logic required to handle Ajax powered Gravity Forms.