Volunteer Application Step 1 of 14 7% Applicant InformationVolunteer Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Volunteer Email Preferred Phone #Present Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Occupation Employer What are your goals/motivation for volunteering at the Institute?Are you able to access programs and apps such as Zoom, Microsoft Teams, etc? Yes No This will not discredit you from volunteering. Some opportunities are virtually based.What other languages do you speak/read/write? Proficiency? Emergency Contact InformationEmergency Contact Name First Last Relationship Emergency Contact Phone # AvailabilityOver what period of time do you plan to volunteer? Length of volunteer opportunity type (mark all that apply) Seasonal Volunteer (Summer, School Breaks) Episodic/One-Time Opportunity Desire for Long-Term Volunteerism Annual Basis Please mark days and times are you available to volunteer. (Current volunteer opportunities exist in a number of departments at different times. COVID-19 current restrictions limit the number of volunteers allowed in building. On site building operating hours are Monday - Friday 8:30am-4:30pm.) Monday (select all that apply) Mornings (8-12 pm) Afternoons (12-5 pm) Evenings (6-8 pm) Tuesday (select all that apply) Mornings (8-12 pm) Afternoons (12-5 pm) Evenings (6-8 pm) Wednesday (select all that apply) Mornings (8-12 pm) Afternoons (12-5 pm) Evenings (6-8 pm) Thursday (select all that apply) Mornings (8-12 pm) Afternoons (12-5 pm) Friday (select all that apply) Mornings (8-12 pm) Afternoons (12-5 pm) I spoke with (staff name) ...* ... about volunteering in the following department The International Institute of St. Louis is an Equal Opportunity Employer, and does not discriminate on the basis of Race, Color, Sex (including sexual orientation - real and perceived, gender identity and gender expression, or pregnancy), Marital Status, National Origin, Religion, Ancestry, Age, Disability, Veteran Status, or any other Protected Class the consideration of which is prohibited by law. Volunteer ContractThe International Institute places a high value on volunteers and their dedication to public service. We depend on volunteers of various backgrounds and appreciate the contributions of time, skills, and commitment that they give. As a result, we consider it important that our volunteers are informed of and agree to certain guidelines. Attendance: You and your supervisor will mutually agree upon a volunteer schedule. The Institute staff and clients are depending on and plan for you to be present and punctual during your scheduled time. If for some reason you cannot keep your schedule, please call/email your supervisor as far in advance as possible so other arrangements can be made and staff can be notified. Record Keeping: It is your responsibility to sign in AND out with your direct supervisor every day which you volunteer. These records are extremely important because they help the Institute track hours of public service and account for volunteers serving in programs. Volunteer hours are also considered a donation and may be reported to funders of the International Institute. When required, make sure to pick up a Volunteer Badge at the front reception desk. It is important we know who you are so wearing the badge is mandatory. Dress: Volunteers at the International Institute work with people who come from a wide variety of backgrounds and cultures. Many of them are newcomers to the U.S and still making cultural adjustments having come from cultures that are more restrictive than ours. In an effort to be culturally sensitive, the agency dress code should be followed. The agency dress code requires volunteers to use good judgment and common sense when dressing for work. Decisions about dress should be made according to the type of work being done, where it is being done and with whom the volunteer will be working. Your attire should always be neat, clean, non-sheer and untorn. No tank tops, bare chest, shoulders, stomach or back will be allowed. Tank tops with appropriate jacket or sweater coverings would be allowed. Clothing should not be a distraction from the services you are providing the client(s). Department specific dress codes may be required for certain departments or events so please check with supervising staff member for appropriate attire. Parking: Volunteers are asked to park in the lot off of Louisiana Ave. You may park in any spot except the few that say “Permit only” as these are for Institute vehicles. We ask you to respect our neighbors by not parking along Arsenal Street. Safety: Please use commonsense when you are at the Institute. Do not leave anything valuable in your car. Take everything with you or lock it in your trunk. Make sure to lock car doors and close windows. If you carry a purse or bag, take it with you wherever you go. Conduct: Volunteers are representatives of the International Institute when they are working with agency clients, service providers and the general community. Therefore it is your duty to act in a professional manner at all times while volunteering. Please maintain a professional relationship with all clients at all times (on and off site) while you are serving as a volunteer of the Institute. Boundaries: As a volunteer it is your duty to maintain professional boundaries with the clients served by the International Institute. You may not exchange phone numbers, addresses or other contact information. (*This may change due to COVID-19 regulations. Please be sure to clarify appropriate action when exchanging phone numbers with your supervisor prior to that happening.) Please do not offer to translate or interpret for a client without receiving permission from the Volunteer Supervisor. Contact with any clients must be arranged through an International Institute employee and, when applicable, approved by your supervisor. The Institute does not permit contact with our clients outside the scope of your volunteer duties/hours unless your volunteer supervisor has granted permission. We welcome your family and friends to join you in your volunteer activities; however, prior to client contact, all volunteers and their guests must go through the application process. Should a client come to you with problems other than those related to your volunteer duties, please contact your volunteer supervisor before attempting to solve this problem. Many times, the Institute staff is working with clients on these issues and your involvement may actually inhibit a speedy resolution. Consent I have read the above and agree to the terms of the Volunteer Contract - page 1. Transportation: Only interns/practicum students working at least 10 hours per week for three months may transport a client in their personal vehicle. Along with the permission of their supervisor, the driver must sign the Volunteer Agreement & Release, pass a background check and provide current copies of their driver’s license and insurance card. Gifts/Donations: We are continually working on clients’ needs. Gifts made directly to clients may have unforeseen consequences. If you would like to make a donation, please contact your volunteer supervisor to discuss the situation. Photography Policy: Volunteers are not permitted to take photos at the International Institute and its events without prior permission by their supervisor. Photos of clients/students are absolutely prohibited. You can request a photo from a staff person if it is required for a school project or other purpose. Publishing Materials: Volunteers and Interns should adhere to the International Institute style guide when creating flyers, brochures and other printed materials. Please see your supervisor to obtain the style guide and the administration department must approve your materials before publishing. Media: No one shall be in contact with the media on his or her own or respond to a media inquiry without first having cleared the activity through your supervisor and the President of the International Institute. If a media person contacts you for information or to ask a question, do not respond unless the request has been cleared in advance with the President’s office. (The media understands this kind of policy, since it is a policy which many other businesses in St. Louis also follow). It is important that information we distribute or give in response to a media inquiry be accurate and that all responsible individuals at the agency be aware of such activities. Immigration Advice: Only the Institute’s immigration services staff are authorized to give immigration advice or assistance to clients. This policy is for the clients’ protection, for your own protection, and for the protection of the International Institute. If you are asked questions regarding immigration, refer them to your supervisor. You may not answer immigration questions or give any advice. Dismissals: The agency reserves the right to refuse the services of any individual without stating a reason. Should complaints arise with regards to a volunteer, the volunteer’s supervisor, upon review of the specifics, shall determine the appropriate course of action, which may include termination. In any case, a volunteer can be dismissed at the discretion of the agency with or without cause. Causes for dismissals include but are not limited to some of the following: Repeated absences without sufficient notice. Destruction or theft of the Institute’s or another individual’s property. Possession of firearms, alcohol or controlled substances on the Institute’s property or reporting to volunteer under the influence of alcohol or any illegal drugs. Displays of abusive or disruptive behavior including abusive language or conduct towards clients, staff, volunteers, or the public. Invasion of privacy or a breach of confidentiality of clients, the agency, staff, or other volunteers. Unapproved contact with the media. Violating the Non – Proselytizing Agreement. Misuse of any Institute records or equipment, including electronic data. The Institute staff is open to your suggestions and comments, which may help better serve you and the Institute clients. If you have any questions about policies, procedures, or your job duties, please discuss them with your supervisor. We want to make your volunteer experience a meaningful one. Consent I have read the above and agree to the terms of the Volunteer Contract - page 2. Volunteer Agreement and ReleaseI, the undersigned, recognize that, as a volunteer I represent the International Institute of St. Louis (the “Organization”) to the public. I accept the responsibility for this status and will conduct myself in a professional manner. I accept the responsibility for this status and will dress appropriately, conduct myself in a professional manner, including remaining drug free and sober during my volunteer assignment. I will not participate in and will report any and all instances of any sort of harassment, exploitation, discrimination, and/or intimidation. I will work to maintain an atmosphere of physical and emotional safety for everyone associated with the Organization: (employees, volunteers, clients and visitors). I agree to maintain the confidentiality of all volunteers, clients, and donors about whom I have personal and identifying information. I agree to honor the commitment length and frequency of service that I make to the Organization. I agree to provide as much advance notice as is possible in the event that I will be absent from my volunteer shift. I agree to update my personal information and emergency information as changes occur. I am aware that as a volunteer I expose myself to potential hazards which include but are not limited to: negligent and/or reckless conduct of others, accidents, cuts, burns, back injury from lifting, car accidents, property damage or injury to others in car accidents, falls, muggings, serious injury, and death. The potential hazards have been explained to me. I am voluntarily participating in this service with the knowledge of the potential hazards involved and hereby agree to accept any and all risks of injury. I understand that as a volunteer, I may be posted at a site that is remote from available medical assistance; and nonetheless agree to proceed with participation as a volunteer for the Organization in spite of the possible absence of medical assistance. I also understand that any equipment provided for my protection may be inadequate in preventing serious injury or death. I am voluntarily participating in this service with the knowledge of the potential hazards involved and hereby agree to accept any and all risks of injury. Consent I have read the above and agree to the terms of the Volunteer Agreement and Release - page 1. In consideration of being allowed to volunteer with the Organization, and other good and valuable consideration, the sufficiency of which is hereby acknowledged, I, the undersigned, hereby release the International Institute of St. Louis and any of its agents, assigns, parents, subsidiaries, employees, officers, directors, officers, volunteers, predecessors, successors and affiliated businesses or entities from any present and future claims including, without limitation, claims for negligence, property damage, personal injury and wrongful death, arising from my participation in as a volunteer for the organization. Furthermore, I hereby voluntarily waive any and all claims, both present and future, arising from my participation as a volunteer for the International Institute of St. Louis, including but not limited to claims for negligence, property damage, personal injury and wrongful death. I agree that my assignees, heirs, distributes, guardians and other legal representatives will not make a claim against, or sue for injury or damage resulting from the negligence or other acts, howsoever caused, by any employee, officer, agent, or volunteer of the Organization as a result of my participation as a volunteer. If my volunteer service includes driving an automobile, I acknowledge that I have both a valid driver’s license and automobile liability insurance policy as required by state law. I agree to maintain my license and insurance in good standing for my entire tenure as a volunteer for the Organization and continually provide the Institute with current copies of both documents. I am knowledgeable of and agree to abide by local and state traffic laws. I agree not to drive while under the influence of alcohol and/or other intoxicating substances. I waive, release and discharge the International Institute of St. Louis, its trustees, officers and employees from any claims, demands, costs, causes of action, or damage as a result of property loss or damage, or personal injuries sustained to myself and to passengers of a vehicle that I am driving. I have read this Volunteer Agreement and Release (“Release”) and fully understand that by signing this Release, I am giving up legal rights and/or remedies which may be available to me. In signing this form, I understand and agree to the terms and conditions it contains related to volunteering my services to the International Institute of St. Louis. If any portion of this Release shall be determined to be void, voidable or unenforceable by a court of competent jurisdiction, then the remainder of the Release shall remain in effect and be construed for maximum enforceability. Consent I have read the above and agree to the terms of the Volunteer Agreement and Release - page 2. International Institute of St. Louis Policy for Volunteers Regarding COVID-19 Safety Procedures While On-SiteThe policy of the International Institute is that masks will be worn while in the building. We ask for your help in protecting others in the building by sharing in the responsibility of: Clean and disinfect all areas used by the volunteers, such as offices, bathrooms, common areas, shared electronic equipment like printers and copy machines, touch screens, keyboards, and remote controls. Disinfect frequently touched surfaces including door knobs, tabletops, counters, phones, keyboards, and fixtures. Note: There are sanitation stations set up throughout the building so you should always have access to some for of disinfectant wipe in order to wipe down surfaces and objects after you’re done using them. Due to the rapid changing situation and evolving CDC recommendations, these procedures may be expanded or updated. If you have any questions or concerns, please contact the COVID-19 Response Committee. The Institute will implement the CDC recommendations in the Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 to help prevent and slow the spread of COVID-19 in the workplace. Consent I have read the above and agree to the terms of the Volunteer COVID-19 Safety Procedures International Institute of St. Louis Policy for Volunteers Regarding Non-ProselytizingThe policy of the International Institute is that no proselytizing is allowed, either at the Institute or outside the Institute grounds, with any of the clients/students one encounters while at the International Institute. Specifically this means that, as a volunteer of the International Institute, any contact with the clients/students of the International Institute will be of a professional nature. There will be no attempt to convert one from one faith or belief to another or to otherwise promote one faith over another, nor will the volunteer act in such a way that can be taken as an attempt to convert to or promote a particular faith. Consent I have read and understand this statement, and agree to conduct myself in accordance with such policy. International Institute of St. Louis Volunteer Consent to be PhotographedI consent to be photographed, audio taped and/or videotaped in activities sponsored by the International Institute, which may be used in communications efforts produced by the International Institute or other media outlets to promote the agency.Consent I have read the above and agree to the terms of the Volunteer Photograph and other media consent. Signature PageI have read and understand and agree to the terms of all of the policies and releases listed below: Volunteer Contract Volunteer Agreement and Release COVID-19 Regulations Policy for Volunteers Regarding Non-Proselytizing Volunteer Consent to be Photographed Volunteer Full Name After you submit your application, you will receive an email from Docusign for you to electronically sign your application and background investigation consent (if you are over 18) If you do not receive the email within 24 hours, please contact Carrie Brickey Brown (email@example.com).Date Submitted by Volunteer MM slash DD slash YYYY Are you under 18 years of age Yes No I agree to allow my child/ward to volunteer at the International Institute and to perform duties as assigned.Parent or Legal Guardian Name First Last Relationship to Volunteer Parent or Legal Guardian Email Docusign needs to be added for Parent or Legal GuardianDate Signed by Parent or Legal Guardian MM slash DD slash YYYY The International Institute of St. Louis is an Equal Opportunity Employer, and does not discriminate on the basis of Race, Color, Sex (including sexual orientation - real and perceived, gender identity and gender expression, or pregnancy), Marital Status, National Origin, Religion, Ancestry, Age, Disability, Veteran Status, or any other Protected Class the consideration of which is prohibited by law. Background Investigation ConsentPlease complete the background screen form below and submit a $10 processing fee. If you are under age 18, you are not required to complete background form. NO REFUNDS WILL BE ISSUED ON PROCESSING FEES. You will not be scheduled for a volunteer position until the volunteer coordinator receives your completed online application, background check is paid for and completed. I hereby authorize the International Institute of St. Louis and/or its agents to make an independent investigation of my criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information which may be material to my qualifications for volunteering now and, if applicable, during the tenure of my volunteer commitment with the International Institute. I release the International Institute of St. Louis and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge: Volunteer Full Legal Name as appears on ID Permanent Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you lived at this address? Date of Birth MM slash DD slash YYYY Social Security Number This will be encryptedDriver's License Number Info EncryptedState of LicenseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificI hereby attest that the above information is true to the best of my knowledge. Docusign needs to be added for volunteerDate MM slash DD slash YYYY **Please contact Carrie Brickey Brown (firstname.lastname@example.org) if you do not have a social security number or if you do not possess a driver’s license. *The above information is required for identification purposes only, and is in no manner used as qualifications for employment. Social Security Number and Driver’s License Number are encrypted. Background Investigation Consent PaymentBackground Processing Fee Price: Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.