SOP_NUMBER: 109.01-att-2 TITLE: GDC Volunteer Application - Personal Data Sheet REFERENCE_CODE: VF01-0001 DIVISION: Inmate Services TOPIC_AREA: 109 Policy-Volunteer Services EFFECTIVE_DATE: 2020-06-30 WORD_COUNT: 336 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106526 URL: https://gps.press/sop-data/109.01-att-2/ SUMMARY: This is the personal data sheet form used for the GDC Volunteer Application process. It collects identifying information, emergency contacts, volunteer preferences, areas of interest, and special skills from individuals seeking to volunteer in Georgia Department of Corrections facilities. The form verifies key eligibility requirements including age (18+), work authorization, and absence of incarcerated relatives, and documents volunteer interests in areas such as academic education, chaplaincy, mentoring, and substance abuse groups. 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 ATTACHMENTS: 1. Volunteer Service Agreement URL: https://gps.press/sop-data/109.01-att-1/ 2. GDC Volunteer Application - Personal Data Sheet URL: https://gps.press/sop-data/109.01-att-2/ 3. Sample Request For Identification Card URL: https://gps.press/sop-data/109.01-att-3/ 4. Volunteer Services GCIC_NCIC Consent Form URL: https://gps.press/sop-data/109.01-att-4/ 5. Visiting Volunteer Waiver of Liability URL: https://gps.press/sop-data/109.01-att-5/ 6. Annual Volunteer Services Evaluation URL: https://gps.press/sop-data/109.01-att-6/ 7. Volunteer Application Processing Checklist URL: https://gps.press/sop-data/109.01-att-7/ 8. Volunteer ID Renewal Certification Validation Form URL: https://gps.press/sop-data/109.01-att-8/ 9. GDC OPS Background Screening Packet URL: https://gps.press/sop-data/109.01-att-9/ ======================================================================== FULL TEXT: ======================================================================== 109.01 Attachment 2 6/30/20 Page 1 of 2 # **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 Page 2 of 2 # **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.