How To Help

Volunteer Application

Volunteer Application

The goal of the Volunteer Program at CAPTAIN Community Human Services is to recruit volunteers who are interested in giving back to their community in meaningful ways. We strive to provide a variety of volunteer options to match the interests of individuals. On this application, there is a listing of volunteer opportunities to choose from. be sure to indicate your interest and availability. Training will be provided, so please do not discount any options that you would like to learn more about.

Please note that all volunteers require personal background checks, some including checks of the State Central Register, and/or DMV records review. This helps to protect both the volunteer and the children, families, or seniors that they may be working with. Background checks are completed at the expense of CAPTAIN CHS.

If you have any questions, please contact Ava Martin, our Director of Philanthropy and Volunteer Engagement at 518-399-4624 or ava@captaincares.org.

Please complete this form if you're interested in volunteering.
First Name
Last Name
Country
Address Line 1
City
State
Postal Code
Phone
If none, type "none"
Cell Phone
If none, type "none"
Date of Birth
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Gender
Occupation
Please tell us a little bit about yourself and why you would like to volunteer.
Do you have any areas of special interest and/or abilities? (i.e. mechanical ability, gardening, college degrees, etc.) If none, type "none."
Please describe your previous volunteer experiences. If none, type "none."
Physical Limitations
Do you have any physical limitations that we should be aware of?
If yes, please explain.
Your Connection to CAPTAIN CHS
How did you learn about CAPTAIN Community Human Services?
If other, please indicate where.
Have you ever filed an application with us before (employment or volunteer)?
If yes, give date.
Have you ever volunteered with us before?
If yes, give date.
Are you currently volunteering with other organizations?
If yes, may we contact your current volunteer organization?
Please provide the name and phone number of your current volunteer organization contact.

The protection of our clients, staff, and volunteers is of utmost importance to us. That's why volunteers seeking to work directly with children are subject to a background check. In addition, volunteers seeking to drive clients must submit to a motor vehicle check and demonstrate proof of current insurance. Checks are done at the expense of CAPTAIN CHS.

Do you have a valid and clean driver's license?
Have you ever been convicted of, been given probation or deferred adjudication of sentencing, or pleaded no contest for any offense other than a minor traffic violation OR are criminal charges against you currently pending?
A conviction will not necessarily prevent you from volunteering.
If yes, please explain fully.
On what date would you be available to begin volunteering?
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Availability
Please indicate when you are generally available to volunteer. Check all that apply.

Please mark those opportunities that are of interest to you.

General Activities
CAPTAIN CHS Outreach Center (Cheryl's Lodge)
Please note personal background checks, including checks of the State Central Register, are required for anyone volunteering in positions directly interacting with youth.
CAPTAIN CHS Youth Shelter
We encourage at least a 1-year commitment to volunteer at the Shelter, as 20 hours of annual training are required. An additional background check and fingerprinting are also required for volunteers in direct contact with youth. More information is available from the Shelter staff.
CAPTAIN CHS Street Outreach Project
Please note personal background checks, including checks of the State Central Register, are required for anyone volunteering in positions directly interacting with youth.
Family Development
Care Links
Please note a DMV record review and proof of insurance is required for anyone transporting seniors.
Teen Activities
Please note personal background checks, including checks of the State Central Register, are required for anyone volunteering in positions directly interacting with youth.
Seasonal and Giving Programs
Other

Personal or Professional Reference #1

First Name
Last Name
Reference #1 - Company
Country
Address Line 1
City
State
Postal Code
Reference #1 Phone

Personal or Professional Reference #2

First Name
Last Name
Reference #2 - Company
Country
Address Line 1
City
State
Postal Code

Personal or Professional Reference #3

First Name
Last Name
Reference #3 - Company
Country
Address Line 1
City
State
Postal Code
Reference #3 - Phone

Volunteer Applicant's Statement

I certify that all answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this Volunteer Application in order to arrive at a volunteer engagement decision. I consent to appropriate background screenings pursuant to agency policy, which may include checking any or all of the following:  NYS Central Registrar of Child Abuse and Maltreatment, NYS Sex Offender Registry, Social Security verification, and NYS felony criminal conviction check.

In the event of engagement as a volunteer at CAPTAIN Community Human Services, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of CAPTAIN Community Human Services.

Signature of Applicant (please type your full name)
Date
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