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Thank you for your interest in volunteering with Crossroads Community Services. We need 20 - 25 volunteers EACH DAY to ensure that we are serving our clients quickly, effectively, and in a helpful, friendly manner. To achieve this, a majority of our volunteer base has committed to a regular schedule. We are always looking grow this base of regular volunteers!  We also welcome individuals wishing to complete community service.

We're confident you will have a positive, rewarding time serving families in need. After you submit the form below, you will be directed to sign up for a volunteer orientation. Volunteers must complete an orientation prior to beginning your service.


 

 

Contact Information
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Gender
Emergency Contact Information
Additional Information
Availability and Volunteer Interest
I am available on the following days and times:
Areas of Interest
Background Verification
Please exclude minor traffic violations for which the fine was $200 or less.

Background Check Release

I understand this application under no condition guarantees my volunteering with Crossroads Community Services. I understand that just as I am free to resign at any time, Crossroads Community Services reserves the right to terminate my volunteer placement at any time, with or without cause and without prior notice. I state that the above is true to the best of my knowledge.
 

I hereby authorize VeriFYI and/or its Service Provider to request and receive any and all background information about or concerning me, including but not limited to my Criminal History, Social Security Number Trace including consumer report under the Fair Credit Reporting Act, 15 U.S.C 1681, Driving Record, Employment History, Military Background, Civil Listings, Educational Background, Professional License from any individual, Corporation, Parternship, Law Enforcement Agency, and other entities including my Present and Past Employers.
The criminal history, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications and delinquent conduct as committed as a juvenile. I understand that this information will be used, in part, to determine my eligibility for an employment/volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history check may be repeated at any time. I understand that I will have an opportunity to reivew the ciminal history as received by client/agency and a procedure is available for clarification, if I dispute the record as received. I also understand that the criminal history could contain information presumed to be expunged.
I further release and discharge VeriFYI and their Service Provider and all of their Subsidiaries, Affiliates, Officers, Employees, Contract Personnel, or Associates, from any and all claims and liability arising out of any request for information or records pursuant to this authorization, procurement of an investigative consumer report and understand that it may contain information about my character, general reputation, personal characteristics, and mode of living, whichever are applicable.
 

I understand that I have the right to make written request within a reasonable period of time to VeriFYI for additional information concerning the nature and scope of the investigation. I acknowledge that I have voluntarily provided the above information for employment/volunteer purposes, and I have carefully read and understand this authorization.

Applicant's Signature  (type your name twice to sign)

Volunteer Application & Background Verification Release Form

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