VIP Volunteer Application

Thank you for your interest in serving as a volunteer with V.I.P. and the County of Santa Cruz. This application is intended for people who already know where they want to volunteer. If you DO NOT know what program you want to volunteer with, please review the County of Santa Cruz Department List HERE.

If you would like assistance finding a volunteer placement - please visit the Volunteer Referral Website HERE. You may also find open volunteer positions at www.scvolunteernow.org

If you are interested in an internship or volunteer position with a specific program or department in the County of Santa Cruz please complete the application below - all sections must be completed and reviewed by VIP staff before you begin your volunteer service.

Interns must also submit a Resume and Cover Letter (you will upload these documents in the first section of the application).

Many volunteer and internship positions require that you get fingerprinted. This is always required for positions where you serve with children, confidential documents or money. If fingerprinting is required for your position, instructions will be emailed to you by the V.I.P. coordinator.

If you have questions please email vip@scvolunteercenter.org

Volunteer Application County of Santa Cruz VIP

To apply for an internship or volunteer position with any department at the County of Santa Cruz

Step 1 of 4

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About You

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Are you 18 years of age or older?(Required)

Yes

If you are UNDER 18 - What is your birthday?

MM slash DD slash YYYY

Are you or have you ever been an employee of the County of Santa Cruz?(Required)

Yes, I'm currently an employee (please list department below)

Yes, I worked at the County in the past (please list termination date below)

If Yes, What Department do or did you work? When did you stop working at the County?

Please tell us what department you work in - IF you are a current employee of the County OR when you stopped working if you are a past employee.

Length of commitment you seek

Less than 3-months

3-6 months

6-12 months

Ongoing/ As long as needed

Are you volunteering to complete COURT ORDERED COMMUNITY SERVICE?(Required)

YES

Other

How many hours per week do you want to volunteer?(Required)

You may also indicate once a month or less frequent interest. If you are only available on certain days or times please indicate.

What are your goals for a volunteer position?(Required)

Emergency Contact(Required)

Name

Relationship

Emergency Contact Phone(Required)

Upload Your Resume and Cover Letter- Required for INTERNS

If you are applying for an internship, please upload your resume in .pdf, .doc or .docx format. You may also send your resume at a later date.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Signature(Required)

I hereby certify that all statements made in this application are true, and I authorize investigations of all matters contained in this interest form. I am aware that fingerprinting is required for all volunteer assignments that have access to children, confidential material or money. I understand that this is a non-paid position with no promise, expressed or implied, of consideration for future employment.

Todays Date(Required)

MM slash DD slash YYYY

Signature of Parent or Guardian

If applicant is under 18.

Todays Date

MM slash DD slash YYYY

About your volunteer position

Our goal is to place volunteers with programs within the County of Santa Cruz as efficiently as possible. Please answer all questions to the best of your ability and write "I don't Know" if you don't know the answer to a question.

Santa Cruz County Department(s)(Required)

Please select departments/projects of interest

Animal Services

Parks

Health Services Agency (HSA)

HSA Behavioral Health

HSA Clinical Services

HSA Environmental Health

HSA Public Health

Human Services

Veterans Administration

District Attorney's Office

Neighborhood Courts

MAT / Peer Support

Juvenile Hall

Probation

*Other

I don't Know

Have you been in contact with a County staff member?(Required)

If yes, please put their name in the "Contact" section below

Yes, I know where I want to volunteer and when I want to start

Yes, but I am not sure exactly where I will volunteer

No, I want help finding a volunteer placement

Other

*Other Department or Program not listed above

County Contact(Required)

If you know who you will be volunteering with, please give their name. You may also put "I don't know"

Department Interest / additional information

If you are interested in more than one department or you are not sure what department you want to volunteer with - please indicate your interests here.

MORE ABOUT YOU

The following information is voluntary and it will help our program evaluate its recruitment practices and compile required statistical reports. The information will not be used to discriminate against, or give preference to, any individual in any volunteer position. Thank you for your cooperation.

Ethnicity / Race

White/Caucasian

Hispanic/Latino

Asian/Pacific Islander

African American/Black

Native American/Alaskan Native

Decline to State

Other

VOLUNTEER AGREEMENT AND RELEASE OF LIABILITY

The Volunteer Initiative Program (“VIP”) is a volunteer program created by the Volunteer Center of Santa Cruz County (“Volunteer Center”) and the County of Santa Cruz (“County”) in order to provide volunteer opportunities to the community. Participation with the County’s Volunteer Initiative Program is strictly voluntary and bound by the terms of this Agreement. No person may volunteer with the County’s Volunteer Initiative Program prior to the County’s volunteer Initiative Programs receipt of this completed Agreement.

Terms and Conditions(Required)

1. By signing this Agreement I acknowledge that I am not an employee of the County or the Volunteer Center and that my performance of voluntary services will be uncompensated. I agree to cooperate with my volunteer supervisor and adhere to the policies of the county’s Volunteer Initiative Program at all times in the performance of my volunteer services.

2. I agree that I will not use power equipment, or stand on any object taller than two (2) feet tall, or otherwise engage in dangerous activities while volunteering with the County’s Volunteer Initiative Program.

3. I will not drive any County vehicle in connection with my volunteer services.

4. I am aware that fingerprinting is required for all volunteer assignments related to minors, money or
confidential materials.

5. I hereby agree to release and hold harmless the County and the Volunteer Center, their officers, agents, employees, and volunteers for any claim for personal injuries and damage to property that I, or anyone under me or on my behalf, may incur arising out of or in any manner related to the performance of my voluntary service or participation with the County’s Volunteer Initiative Program. I further agree to indemnify, hold
harmless and defend the County and the Volunteer Center, their officers, agents, employees, and volunteers from any and all claims, demands, actions, judgments, costs, attorney’s fees and damages of any kind for liability which the County may incur arising out of or in any manner related to the performance of my voluntary services or participation with the County’s Volunteer Initiative Program.

6. While participating as a volunteer with the County’s Volunteer Initiative Program, I hereby authorize the taking of my picture, by photograph, movie, or videotape or otherwise (“pictures”) for use by the County’s Volunteer Initiative Program. I hereby irrevocably consent to and authorize the use and reproduction of such pictures for use by the county’s Volunteer Initiative Program without compensation.

7. As a County’s Volunteer Initiative Program volunteer, I understand that I am covered by the County of Santa Cruz Liability and Worker’s Compensation insurances, should I be injured while volunteering in assigned duties that are consistent with the safety rules outlined in this agreement. I will report any injuries immediately to my
volunteer supervisor, the County’s Volunteer Initiative Program office at (831)454-2987 and Risk Management
at (831)454- 2253

I agree to the terms and conditions.

Name(Required)

First Last

Signature(Required)

Date(Required)

MM slash DD slash YYYY

IF VOLUNTEER IS UNDER 18, PARENT OR GUARDIAN MUST SIGN BELOW

On behalf of my child, myself, and our representatives, I do hereby consent to allow my child, (named above), to participate as a volunteer with the County’s Volunteer Initiative Program, subject to all of the conditions above. I further expressly agree, on behalf of my child, myself, and our representatives, to all of the terms and conditions above, including but not limited to paragraphs 1 through 7.

Name of Parent/Guardian

First Last

Date

MM slash DD slash YYYY

VOLUNTEER CONTRACT AGREEMENT

IF YOU HAVE ALREADY CONNECTED WITH A COUNTY OF SANTA CRUZ SUPERVISOR/STAFF MEMBER - PLEASE COMPLETE THIS SECTION. If you are not sure where / who you will be volunteering with, you can leave this blank and complete with your supervisor.
Contract must be completed before volunteer begins assignment County of Santa Cruz

Your Name

First Last

Volunteer Supervisor

Phone (volunteer supervisor)

Department/ Division / Project

Address / Rm of volunteer project

START DATE

MM slash DD slash YYYY

END DATE

NOT TO EXCEED ONE YEAR

MM slash DD slash YYYY

Estimated hours per month

Volunteer Supervisor Responsabilities

• Complete any legal requirements (background check, fingerprinting, etc.) before volunteer starts
• Provide initial and ongoing training and supervision
• Complete contract with volunteer and return to VIP Program Coordinator
• Inform the VIP Program Coordinator at (831) 454-2987 and Risk Management at (831) 454-2253 of any injuries occurring while the volunteer is on assignment
• Contact VIP Program Coordinator regarding any problems during the contract period
• Inform VIP Program Coordinator if volunteer vacates position
• Log in volunteer hours and report to VIP Program Coordinator at the end of each month

Volunteer Responsibilities

• Log in volunteer hours on timesheets provided
• Return volunteer timesheets to VIP Program Coordinator at the end of each month
• Arrive to assignment on time; inform supervisor if you will be late or absent
• Fulfill time commitment, as listed below
• Contact VIP Program Coordinator at (831)454-2987 and Risk Management at (831) 454-2253 of any injury occurring while on volunteer assignment
• Contact VIP Program Coordinator when (or before) leaving position

Volunteer Signature

As a Volunteer Initiative Program volunteer, I understand that I am covered by the County of Santa Cruz Liability and Worker’s Compensation insurances, should I be injured while volunteering in assigned duties that are consistent with the safety rules outlined in this agreement. I will report any injuries immediately to your volunteer supervisor, the County’s Volunteer Initiative Program office at (831) 454-2987 and Risk Management at (831) 454-2253.

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Volunteer Application County of Santa Cruz VIP

About You

MORE ABOUT YOU

VOLUNTEER AGREEMENT AND RELEASE OF LIABILITY

VOLUNTEER CONTRACT AGREEMENT

Volunteer Supervisor Responsabilities

Volunteer Responsibilities

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