Volunteer Application

Volunteer

Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Email(Required)

Address

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

Emergency Contact Information:

Name(Required)

First Last

Phone(Required)

Name

First Last

(if other)

Phone

(if other)

Please check the department(s) you are applying to volunteer:

Vocational Services

Residential Services

Support Services

Please check the days/times you are available:

Mornings/Afternoons

Afternoons/Evenings

Weekdays

Weekends

Volunteer Policy:

Please read the Volunteer Policy below*

Acknowledgement(Required)

I have received the BARC Developmental Services Volunteer Policy. I have reviewed this standard, and I have had the opportunity to ask questions. By signing this acknowledgment, I understand the importance of complying fully with this policy. I also understand that I can ask for further clarification at any time.

Signature

Phone

This field is for validation purposes and should be left unchanged.

My son is always happy to go to BARC and is joyful!

My daughter is lovingly cared for by staff who are always helpful.

My son can’t wait to get there; we love all the people who work. We appreciate the outstanding efforts made by the staff every day.

We could not be more pleased with the care and support of the staff.

I absolutely love BARC, my job, my coworkers, and of course the individuals! I believe in the agency and its mission. BARC is the best agency I have ever had the privilege to work for.

I am very pleased with the program; staff are very professional and courteous. They are knowledgeable and answer all questions extremely well.