APPROVED VOLUNTEER

Must be 13 years or over.

Must complete a membership application and submit it for review.

Must complete and pass a criminal background check (18 years and older only) every (3) three years.

Approved Volunteers will be placed on a call roster, to be called whenever the foundation is in need of volunteer assistance.

We ask that if you volunteer to participate in a specific function, that you commit to it and honor your commitment. We urge the participation of at least 1 function per year.

Any further questions contact our administration number at 732-462-5793.

APPROVED VOLUNTEER APPLICATION

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PERSONAL INFORMATION

Last Name:

First Name:

Gender:

Are you over 18 years or older?

Address:

City:

State:

Zip Code:

Home Phone Number:

Cell Phone Number:

Email Address:

Occupation:

Employer:

Employer Address:

Manager:

Employer Phone Number:

Manager Email Address:

Are you proficient in any foreign language?

If so, what language(s)?

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COURT RECORD

Have you ever been arrested, charged, or summoned with any offense including but not limited to criminal violations, disorderly persons offenses, or ordinance violations?

Yes

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If the above answer is “yes” please complete the below information

Date:

Location:

Charge:

Disposition:

Details:

Date:

Location:

Charge:

Disposition:

Details:

Do you have any prior involvement or experience with Domestic Violence, either as a victim or the accused?

Yes

Field label

If the above answer is “yes” please complete the below information below.

Date:

Location:

Charge:

Disposition:

Details:

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DRIVING RECORD

Do you have a valid driver's license?

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REASON FOR APPLYING FOR A VOLUNTEER POSITION

What, if any, has been your experience in Domestic Violence?

How did you hear about us and why do you want to volunteer for the foundation?

Do you grant consent for the Stephanie Nicole Parze Foundation to conduct a background check?

Yes

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If you do not grant consent to a background check, please know that your application will not be considered for a volunteer position with the Foundation.

I understand that my volunteer application is contingent upon the results of my background check. I also understand that willfully withholding information or making false statements on this application will be basis for dismissal from the Stephanie Nicole Parze Foundation. I agree to these conditions and I hereby certify that all my statements made by me on this application are true and complete, to the best of my knowledge.

Opt-In

By checking this box, I attest that I have read the SNPF Code of Conduct

Signature of Applicant:

Date:

Opt-In

(For minors under the age of 18) I am the Parent/Legal Guardian of the applicant. I am fully aware that my Child has

completed this application to be an Approved Volunteer (non-member) for the Stephanie Nicole Parze Foundation. I understand that by signing this application that my child is NOT a full fledged "Member" of the Foundation, however, must still abide by the Foundations Code of Conduct at all times. My signature below indicates my consent to process this application.

Signature of Parent of Legal Guardian

Date

EMERGENCY HOTLINES

Sexual Abuse: 1-800-656-4673

Domestic Violence: 1-800-799-7233

NJSP Missing Persons Unit
609-882-2000 x2554

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