What's your email address?

Your information


Required fields are marked with an asterisk (*).
Name: First *
Middle
Last *
Preferred First Name
Preferred Pronouns
Mailing Address *
City *
State *
Zip *
Home Phone
Cell

For example, 123-456-7890
Work Phone
How did you learn about our volunteer opportunities? *





Employer
Education
IU Student Group *
What group?
Service Learner for class *
Course
Professor
Court Ordered Community Service? *
National Able Volunteer? *
Worker's Comp Assignment? *
If yes to any of the above, please list required hours per week, deadlines, restrictions, etc.
Professional/Work Experience
Why do you want to volunteer with Beacon, Inc.? *
Skills and interests I'd like to utilize while volunteering. *
Days and hours I'd like to volunteer. *
Have you ever been convicted of a felony? *
Gender Identity (Optional, for data purposes only)
Ethnicity (Optional, for data purposes only)
Age (Optional, for data purposes only)

Confidentiality Agreement

I intend to participate with Beacon, Inc. as a volunteer and understand that while I am volunteering, I may have access to confidential information concerning individuals whom receive service through our agency. I agree to not discuss any of the guests by name or identifying information with anyone but Beacon, Inc. staff. I will not discuss guests at Shalom with any other guests, and I will treat all guests with dignity, respect, and concern as their rights as individuals. I have read and understand the Code of Conduct for working with guests.
I understand that I may be required to attend an orientation, volunteer training, volunteer meetings, and in-service training. In return, Beacon, Inc. will provide me with the necessary guidance needed for me to perform my responsibilities. The staff at Beacon, Inc. will also provide me with any resources and support I need to fulfill my responsibilities. I agree to notify those in charge if I plan on missing a day that I agreed to attend.
I agree to follow the guidelines and procedures of Beacon, Inc. while volunteering my services. I have read and understand all of the above.