SOP 109.01-att-2: GDC Volunteer Application - Personal Data Sheet
Summary
Key Topics
- volunteer application
- volunteer recruitment
- personal data sheet
- volunteer eligibility
- volunteer preferences
- volunteer skills
- volunteer background information
- correctional facility volunteer
- GDC volunteer
- volunteer registration
- volunteer areas of interest
- volunteer screening
Full Text
109.01
Attachment 2
6/30/20
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# GDC VOLUNTEER APPLICATION Personal Data Sheet Identification:
Name __________________________________________ Email Address _______________________________________
Telephone: (Home)________________________ (Cell)____________________
Home Address_______________________________________________________________________________________
City___________________________________State_________________________ Zip ________________________
Emergency Contact Name and Relationship ______________________________________________________________
Emergency Contact Phone Number _____________________________________________________________________
Your Preferred method of notification when access to your preferred facility is limited or suspended? (Text to Cell Phone,
Email, or Telephone Call) __________________________________________________________________________
# Group Affiliation:
Group/Organization you are Volunteering with _________________________________________________________
Group Facilitator/Group Leader Name _________________________________________________________________
Group Facilitator/Group Leader Email Address___________________________________________________________
Group Facilitator Phone Number ______________________________________________________________________
Group Emergency Contact Name _____________________________________________________________________
Group Emergency Contact Number____________________________________________________________________
# Personal Motivation:
Why are you interested in volunteer in corrections? ______________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Retention Schedule: Upon completion, this form shall become part of the volunteer’s file to be maintained for two (2)
years past termination of the volunteer’s services.
109.01
Attachment 2
6/30/20
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# Volunteer Preferences: Areas of Interest: Academic Education Administrative Clerical Areas Behavioral Programs Bill Glass Prison Ministries Chaplaincy Gideons Grief Counseling Holiday/Special Events Only Mentoring Substance Abuse Groups Vocational Education Other __________________________ Special Skills : Career Training Counseling Services Family and Parenting Job Search and Interviewing Juvenile and Young Adult Outreach Library Services Mentoring Minister Recreational Services Teacher Not Applicable Other _____________________ Professional Credentials/Certificates/Licenses: Bachelor’s Degree Master’s Degree Doctorate Degree Teaching Certificate Counseling Certification Not Applicable Other _____________________________
In What Facility are you interested in Volunteering? ___________________________________________________
Have you ever Volunteered in a Correctional Facility? Example: County Jail, Prison Camp, Juvenile Detention Center Career
# YES NO
Have you ever volunteered in a state other than Georgia?
# YES NO
Are you authorized to work in the U.S. ?
# YES NO Naturalized
Did you see us on a social networking service?
# Facebook Twitter Pinterest Snapchat You Tube I understand that I cannot volunteer at a facility where I have a relative incarcerated. YES NO
I understand a Volunteer must be 18 years or older. (Select One)
# Yes, I am 18 years or older No, I am not 18 years old yet
Retention Schedule: Upon completion, this form shall become part of the volunteer’s file to be maintained for two (2)
years past termination of the volunteer’s services.