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Staff/Volunteer Application

Hello and thank you for your interest in Peace Place.

Staff/Volunteer Application

Name

First Last

Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Background checks:

We must do a background check on all volunteers and staff who work with children. These are processed through the State of Montana and the FBI.

I agree to complete a background check, and I have lived in Montana my entire life.

I agree to complete a background check and I have lived in other states. I understand there will be multiple background checks for each state.

I do not wish to volunteer with children, so I will not need a background.

Please call me about this background check - I am not sure I understand.

Other

References:

Please provide two references of non-family members with contact information who can share with us your suitability to work or volunteer at Peace Place:

Availability - check all that apply

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend mornings

Weekend afternoons

Weekend evenings (for events, etc.)

Other

Interests - check all that apply

Childcare with young children with special needs

Childcare including my typically developing children (you may bring 1 or 2 of your own children with you.)

Internship for an accredited college

Internship for high school age

Young Athletes Program with Special Olympics

Bulletin Board decoration/Craft prep for teachers

Fundraising/Events assistance

Other

Do you have any special skills, such as degrees or certification in training special needs caregivers, or development or administrative assistance?

Summarize your work and volunteer experiences here. What made you decide to apply to work or volunteer at Peace Place?

Please provide the name of an emergency contact for you and that person's phone number.

Consent(Required)

By clicking the agree button below, I confirm that I am applying to be a staff member or volunteer with Peace Place Respite Care, and that I have submitted only true facts about myself. I understand that if I am accepted as a staff member or volunteer, any statements, omissions or other misrepresentations made by me on this application may be grounds for immediate dismissal.

I submit this application and certify that it is true.

Thank you for applying to help us provide the gift of TIME to our very special families— we will contact you soon!

CAPTCHA

(406) 642-0235 • Info@peaceplacegf.com
First Presbyterian Church • 1315 Central Avenue Great Falls, 59401

The respite programs at Peace Place are funded in part (about one-third) under a Contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

© 2021 Peace Place. All Rights Reserved. Site by Meghan Shaulis

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