Shepherd's Gate Livermore Volunteer Application

Thank you for your interest in becoming a Shepherd's Gate volunteer! Please fill out and submit the following application. Someone will follow up with you shortly.

Shepherd's Gate is a Christ-centered organization. While we understand that many of our volunteers may not share our Christian faith, we do ask that our volunteers respect our faith. You will be asked to sign a statement acknowledging your respect of our faith at the volunteer orientation prior to volunteering.

Shepherd's Gate does not discriminate in the placement of volunteers on the basis of race, color, national origin, sex, disability, or veteran status. No question in this application is intended to secure information to be used in a discriminatory manner. Receipt of this application does not imply that you will be utilized.

Country*

Email*

Confirm Email*

Phone*

Preferred Campus*

Livermore
Thrift Store

Area of Interest Descriptions:

Administration -

Ex: Filing, Mailings, Phone Calls

Community Ambassador -

Ex: Event Booths, Community Meetings

Events -

Ex: Mailings, Centerpieces, Social Media Support, Photography

Facilities -

Ex: Handyman Work, Gardening, Special Projects

Program -

Ex: Childcare, Teaching Classes, Chauffeuring

Thrift Store -

Ex: Replenishing Inventory, Sorting and Pricing, Testing Electronics

Frequency Availability*

Weekly
Bi-Weekly
Monthly

* Please note that there are limited volunteer positions available on weekends and evenings.

Time of Day Availability*

Ex: Mondays 11am-2pm, Thursdays 3-5pm, Fridays 9-11am

Reference #1 Name (Non-Family Member)*

Reference #1 Relationship*

Reference #1 Years Known*

Reference #1 Email Address*

Reference #2 Name (Non-Family Member)*

Reference #2 Relationship*

Reference #2 Years Known*

Reference #2 Email Address*

Emergency Contact

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone Number*

Emergency Contact Alt. Number*

Background Questions

Have you ever resided at Shepherd's Gate?*

Have you ever been convicted of a misdemeanor?*

(Such convictions may be relevant if position is related, but does not bar you from participating.)

If Yes, please explain.

Have you ever been convicted of a felony?*

(Such convictions may be relevant if position is related, but does not bar you from participating.)

If Yes, please explain.

Are you receiving service credits for school?*

If Yes, please explain.

Number of Service Hours Required

Deadline Date for Required Service Hours

(ex: mm/dd/yyyy)

Do you attend a church?

Please read carefully and confirm that you acknowledge each paragraph below.

Statement #1: I have not knowingly withheld any information that might adversely affect my chances for a volunteer position and the answers given by me are true to the best of my knowledge. I certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application may be grounds for discharge from my volunteer position.*

Statement #2: I hereby authorize Shepherd’s Gate to thoroughly investigate my references and matters related to my suitability for volunteering, and authorize the references I have listed to disclose to the company any and all information in regards to my suitability for volunteering. In addition, I hereby release Shepherd’s Gate and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.*

Statement #3: I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my volunteer process, is intended to create a contract between me and Shepherd’s Gate. I understand and agree that if I am chosen for a volunteer position, my tenure is for no definite or determinable period and may be terminated at any time at the option of either myself or Shepherd’s Gate, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and a Shepherd’s Gate designated representative.*

Statement #4: Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by Shepherd’s Gate personnel, I am entitled to copies of any such public records obtained by Shepherd’s Gate. *

Statement #5: I understand that I may be required to show results of a TB test or LiveScan finger printing depending on the volunteer placement. I also understand that my name may be searched on the Megan’s Law Database.*

* If you have a particular skill-set you would like us to be aware of, please specify it in the note field below. Thank you.

* Once you click Submit below, please be sure to Scroll to the TOP of the Next Page to see your confirmation message.

Welcome!

Contact Information

Country*

State / Province*

Address*

City*

State / Province*

*

*

*

*

*

*

Email*

Confirm Email*

Phone*

Birthday*

Volunteer Information

Preferred Campus*

Area of Interest

Frequency Availability*

Day Availability*

Time of Day Availability*

Reference #1 Name (Non-Family Member)*

Reference #1 Relationship*

Reference #1 Years Known*

Reference #1 Email Address*

Reference #2 Name (Non-Family Member)*

Reference #2 Relationship*

Reference #2 Years Known*

Reference #2 Email Address*

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone Number*

Emergency Contact Alt. Number*

Have you ever resided at Shepherd's Gate?*

Have you ever been convicted of a misdemeanor?*

If Yes, please explain.

Have you ever been convicted of a felony?*

If Yes, please explain.

Are you receiving service credits for school?*

If Yes, please explain.

Number of Service Hours Required

Deadline Date for Required Service Hours

Do you attend a church?

Church Name

Church City

Statement #4: Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by Shepherd’s Gate personnel, I am entitled to copies of any such public records obtained by Shepherd’s Gate. *

Statement #5: I understand that I may be required to show results of a TB test or LiveScan finger printing depending on the volunteer placement. I also understand that my name may be searched on the Megan’s Law Database.*

Additional Comments

Security