Shanti Volunteer Application

Sign up today to begin your rewarding volunteer experience with Shanti Project! Please be aware that this application may take about 30 minutes to complete. Once you complete the application, Shanti's Volunteer services will contact you.

GENERAL INFORMATION

First Name

Middle Name/ Middle Initial

Last Name

Maiden Name (if applicable)

Nickname

Is the name above your legal Name?

YesNo

Full Legal Name

Birthdate

Shanti requires volunteers to be at least 16 years old. Some volunteer assignments may have other age requirements.

ADDRESS INFORMATION

Address Type

Street Address

City

State

Postal Code

County

Neighborhood

Other Neighborhood

CONTACT INFORMATION

Email

Best Phone Number to Reach You on

Mobile Phone

Other Phone

Work Phone

Preferred Contact Method

PhoneEmail

EMERGENCY CONTACT INFORMATION

Volunteer Emergency Contact Name

Volunteer Emergency Contact Relationship

Volunteer Emergency Contact Phone

Emergency Contact Email

Page 2 - Community Service

How did you hear about Shanti?

Referral?

Are you volunteering on behalf of another agency?

Yes, I am volunteering on behalf of another organization.No, I am not volunteering on behalf of another organization.

I am volunteering on behalf of

Other - What is the program you are volunteering on behalf of?

Community Service Requirement

Do you need Community Service Hours?

Yes, I need community service hoursNo community service hours needed

Number of Hours Needed?

When are the hours due?

CRIMINAL BACKGROUND

Have you been convicted of a crime?

Please explain the nature of the crime and the date of conviction and disposition.

Conviction of a crime is not a disqualification for volunteer work.

Page 3 - Volunteer Experience

SHANTI VOLUNTEER EXPERIENCE

Yes, I am a Former Volunteer of Shanti Project

Past Volunteer Program

Past Volunteer Program or Activities

PAST VOLUNTEER EXPERIENCE - OTHER AGENCIES

Please describe any volunteer experience you may have.

Agency Name

Role

Start Date

End Date

Duties, accomplishments, and other notes

Page 4 - Optional Education & Employment Information

EDUCATION INFORMATION

Education History: School

Current Student?

Which School do you attend?

School Name

Field of Study

Other Student Field of Study

EMPLOYMENT INFORMATION

Are you currently employed?

Employment History

This is my

employer

Last Date of Employment

Name of Organization/Company

Job-Title

City

State

Applicable Professional Certifications

Do you hold any applicable professional certifications?

Other professional certifications?

Page 5 - Transportation

TRANSPORTATION

Do You Have a Car?

Types of autos owned

Yes, I have auto insurance.

Yes, I am willing to use my car for Volunteer Work.

Page 6 - Interests and Commitment

AVAILABILITY AND COMMITMENT

Volunteer Availability

In order to select multiple options, press and hold down the Ctrl key (or the Command key for Mac Users), and then click each item that you want to select.

How many hours are you available to volunteer? Please note that the Peer Support Program requires a commitment of 2-6 hours per week

VOLUNTEER OPPORTUNITIES

Show Position Descriptions

Position Descriptions

Peer Support Client Match: Peer support volunteers get paired one-on-one with Shanti clients who may be isolated LGBT seniors, people living with HIV or women with cancer (2-6 hours a week based on volunteer's schedule). Peer support volunteers provide emotional support (supportive listening, conversation, companionship) and practical assistance (light housekeeping, errands, laundry, cooking, pet care). A 24 hour training is required and provided.

Drop-in Center Peer Support: Drop-in volunteers support clients much in the same way Peer Support Volunteers do, in a different setting. These volunteers help out during drop-in hours (Tuesday and/or Thursday Mornings), and will have interactions with many different clients, rather than a one-on-one match.

PAWS: PAWS volunteers assist clients in caring for their pets through supportive pet care services, including dog-walking, in-home cat care, foster care, transports to and from the veterinarian, specialized animal care (nail clipping, bathing, subcutaneous fluids, vet/vet tech consultation), distribution of pet food through an onsite food bank, and preparation and delivery of pet food to home bound clients.

Wellness Activity/Workshop Leader: Wellness volunteers support women with cancer by leading workshops or activities that are beneficial to clients. Some of our current workshops include nutrition, jewelry making, photography, affordable housing 101 and meditation. Shanti’s client base is broad, and many different types of activity are welcomed.

Administrative Support: Administrative volunteers are typically interns, or volunteers who have committed to assisting Shanti with a variety of duties including, but not exclusively, clerical support, data entry, and other duties as assigned.

Special Events: Special event volunteers lend a helping hand at Shanti fundraisers and other outreach events.

Skills-Based Volunteering or Pro Bono Work: Skills-based volunteers act as consultants for Shanti. This type of volunteering is especially relevant for those who work in tech, or those who have specialized skill sets such as videography.

Which volunteer opportunities interest you (check all that apply)?

Languages Spoken

In order to select multiple options, press and hold down the Ctrl key (or the Command key for Mac Users), and then click each item that you want to select.

Other Languages Spoken

Page 7

YOUR STORY

Briefly describe why you are interested in Shanti, and what you hope to gain from volunteering.

What are your personal obligations that we should be aware of? Examples may include caring for family members, religious commitments, professional commitments, or personal health issues.

How has HIV, cancer and/or serious illness affected your life? You do not need to have been directly affected to become a Shanti volunteer.

Please describe any major life changes you’ve experienced in the past 2 years (such as entering a recovery program, a loss, ill health, a move/relocation, a new job, changes in romantic relationships, etc.)

Are you in a recovery program?

YES, I have been in a recovery program.NO

How long have you been in this recovery program?

Our clients, staff and volunteers come from many different backgrounds. They may include people of different ethnicities, genders or sexual orientations, people who are active or recovering drug/alcohol users, or people affected by illness. How might you be challenged working with people who have different life experiences from your own?

Sometimes Shanti clients face issues unrelated to their illness. Please tell us about any past experiences that may be triggering for you; these may include mental health issues, emotional abuse, substance usage, violence and harassment. These can include challenges you’ve faced yourself, or issues that people close to you have faced.

Please describe the type of workshop or activity you would like to lead.

What is your experience with this type of workshop or activity?

Please describe your experience with office administration.

What is your level of computer literacy? Please include which programs you can comfortably navigate (i.e. Microsoft Excel).

What is your experience with special events?

What skill(s) would you like to bring to Shanti?

Do you have any additional volunteer position ideas?

Do you have a specific project idea? If so, please describe it below.

PAWS PROGRAM

Briefly tell us why you are interested in volunteering with the PAWS Program.

Please describe your experience working or interacting with animals.

Do you have any personal health concerns that might impact your work as a PAWS volunteer? Please include allergies to any animals (cats, dogs, rabbits, etc.)

What is your experience, if any, with people who have a serious illness such as HIV/AIDS or another disabling illness?

Tell us about any pet(s) you have currently (name, species, breed age)

What is your experience with people living with mental health conditions such as depression, bipolar disease, dementia, anxiety, etc. How do you feel about working with people who have a mental illness?

Briefly describe an animal that is/was important in your life and what that relationship means/meant to you.

Page 8

REFERENCES

Please provide us with two or more personal references who can attest to your character, skills and dependability.

Reference Info #1

First Name

Last Name

Phone Number

Email

Relationship

Reference Info

First Name

Last Name

Phone Number

Email

Relationship

OPTIONAL RESUME UPLOAD

Resume Upload

OPTIONAL STATISTICAL INFORMATION

Demographic information helps evaluate Shanti's efforts to achieve diversity among our volunteers. This data will be used for evaluation and reporting purposes only. The information is confidential, and will not be used to identify any individual. Shanti will not report anyone’s personal information outside of our agency. Responding to demographic questions is optional. If you prefer not to answer these questions, please select the "No reply" option.

Gender

Other Gender

Race/Ethnicity

Other Race Identity

Sexual Orientation

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I attest that all of the information submitted in my application is true and valid to the best of my knowledge.

Peer Support Client Match	Drop-in Center Peer Support	PAWS
Wellness Activity/Workshop Leader	Administrative Support	Special Events
Skills-Based Volunteering / Pro Bono Work