Application 1

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Outreach Team - Application 1

Thank you for applying to serve on the Outreach Team. Once you submit this application, our Volunteer Coordinator will respond within 7-10 business days.

Contact and Background Information

* Indicates required field

Name *

First

Last

Gender *

Male Female

Email *

Phone Number *

Birthday *

I certify that I am 18 years or older *

Yes

Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation and Employer: *

Please describe any work limitations/disabilities that we may need to know: *

General Interests

What are your reasons for wanting to volunteer with Created Gainesville? *

List other volunteer experiences: *

How did you hear about us? *

List any and all skills, gifts, training, and/or educational degrees you could contribute that would be beneficial to Created Gainesville: *

Which Outreach Opportunities are you interested in? Please remember that this will be a 6-12 month commitment. *

Street Outreach - 1x a Month, Friday Evenings (10:30pm-1am) Morning Club Outreach - 1x a Month, Monday Mornings (11am-1pm) Evening Club Outreach - 1x a Month, Wednesday Evenings (6:45 - 8:30pm) Oasis - Every Friday (6:30-8:30pm) Mentoring Transportation Other

If other, please indicate here: *

Personal History

The following section will address personal history and can bring up sensitive and personal information. Your answers to these questions will not disqualify you from serving. Due to the nature of the ministry, it is imperative that we are aware of any situations that may be uncomfortable or unsafe for you. This application will remain confidential and will only be shared with key staff.

Addictions: *

Anger: *

Co-Dependent Relationships: *

Cult Involvement: *

Eating Disorders: *

Employment Problems: *

Homosexuality: *

Divorce: *

Mental Health Issues (Anxiety, Depression, or Other Mental Illness): *

Physical Abuse (by others or to others): *

Pornography: *

Rejection or Mistreatment from a Church: *

Self-Abuse (not drugs/alcohol) *

Sexual Abuse (by others or to others): *

Social Services Involvement: *

Suicidal Thoughts and/or Attempts: *

Please explain any involvement with these issues, which occurred in the past or within the past month. Is it a current struggle? How are you receiving help? *

What are your views on dating, drinking, and drugs? Created Gainesville's desire is to live above approach. Our ladies will see you as a role model. How do you feel about this? *

Do you relate to women in the sex industry? Do you know anyone who has been involved or been exposed to it? *

Have you ever been convicted of any crime, other than minor traffic violations? If yes, please explain. *

What has been your experience with alcohol and illegal drugs? Please explain if necessary. *

Confidentiality & Liability Agreement

Upload a copy of your signed Confidentiality and Liability Waiver: *

Max file size: 20MB

*If you are unable to scan your copy of the Confidentiality and Liability Waiver, you can bring it with you to your interview

Liability Agreement
I freely, voluntarily and after reading carefully, execute this Volunteer Waiver of Liability:

I understand as a volunteer with Created Gainesville that there is some danger and risks associated with participation. This is not an exhaustive list, it is impossible to state every danger. I understand that I may be exposed to:

Alcohol and drug abuse
Men and women who are under the influence of drugs or alcohol and who may be violent
Pimps, addicts, prostitutes who could threaten, attack, or abduct me by using physical force, guns, knives, or other weapons
Trauma or traumatic situations that may cause strong emotional reactions
I may be held hostage or for ransom
My personal property may be damaged or stolen
Other dangers that are listed here but nonetheless are a result of my participation

I agree to the following: not to hold Created Gainesville or any of its officers, directors, employees, agents, volunteers, and associates liable in any way for any occurrence or arising out of my participation with the Outreach that results in injury, death, or other damage to me, my family, heirs, or assigns and/or injury or damage to my personal property or others in my care.

I understand that as a volunteer I am not entitled to employee benefits from Created Gainesville such as health or accident insurance, workmen’s compensation benefits, etc. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or claims against me as a volunteer performing my duties as a volunteer.

I understand that as a volunteer, I am protected from liability by the Federal Volunteer Protection Act as long as I am performing my assigned duties or tasks, not acting in a grossly negligent manner, or operating a motor vehicle. Should damages or injuries occur while I am operating a motor vehicle during the course of my volunteer duties, I understand that I accept any and all responsibility for damages to my vehicle, others property as well as injury to myself, passengers in the vehicle with me, or other motorist or passengers involved. I release Created Gainesville from any liability or responsibility for damages to my property or the property of others in the event of an accident involving my vehicle or others. I furthermore release Created Gainesville from any liability or responsibility in the event of injuries to myself, passengers or others involved. I agree not to hold Created Gainesville, officers, directors, employees, agents, volunteers, and associates liable in any way for any occurrence related to or arising out of my travel to and from the Outreach that results in injury, death, or other damage to me or my family, heirs, or assigns or injury or damage to my personal property or property in my care.

Created Gainesville reserves the right to use any photograph/videography taken on Created Gainesville property or at any event that we participate in or host.

Confidentiality Agreement
I agree that I will not disclose any information I learn while in contact with the participants of the Created Gainesville's program. Such information includes, but is not limited to: participant’s names, personal information and/or physical descriptions of participants that could be used to identify them, specific policies and procedures of the Created Gainesville program, participant’s location and/or specific location of the Created Gainesville office or facilities. I understand that to disclose any of the above information to outside parties may result in my being forbidden to return to Created Gainesville, or in extreme cases, legal action being taken against me. If while on site you are ever in a position where you feel you must jeopardize the confidentiality of the Created Gainesville's program, please notify a staff member immediately. Such situations include your safety, participant or staff member’s safety, reports of current child or elder abuse.

By clicking Yes to this box, I confirm that I have read, understood, and agree to these Confidentiality and Liability Waiver terms *

Yes

Disclaimer

By submitting this form, you are confirming that you have read and to the best of your ability, have completed this form. By submitting this form you understand that any false information on this application may be cause for your dismissal from volunteering. You understand that your application will be reviewed to determine in what areas your services can best be utilized. You understand you will not be accepted for a volunteer position until you have notification of acceptance and have completed training. By submitting this form, you also give your consent for a background check.

If you haven't already, please complete a background check with the submission of your application.

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S U B S C R I B E

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Email *

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U P C O M I N G E V E N T S

Human Trafficking Symposium
Friday, July 26, 2019 @ 9 am - 5 pm
Hotel Indigo at Celebration Pointe 5020 SW 30th Lane Gainesville, FL 32608
Become educated on the signs of human trafficking and what certain situations may look like in the city of Gainesville. Additionally, learn how you can play a part in helping end sex trafficking and exploitation in this city. Sign up here.

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PO Box 6013, Gainesville, FL 32627 | (352) 870-8481 or 1 (855) 4-BE-FREE | contactus@createdgainesville.com

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