Home

Volunteer Application

Asterisks designate required information.

Identifying Information
Volunteer Application Date Calendar
First Name*
Last Name*
Personal Email*
Cell Phone*
()-ext
Enter Int'l Number
Birth Date Calendar
Contact Information
Street Address*
City*
State/Region*
Enter Region
Zip Code*
Permanent Address
This is primarily for college students.  Please enter your permanent (parent's) address here.
Shipping Street Address
Shipping State/Region
Enter Region
Shipping City
Shipping Zip Code
Volunteer Details
Are you volunteering as part of a group?*
If yes, group name:
How often do you plan to volunteer with APO?*  
Please describe any previous experience working with young women and/or children.
What are your hours of availability Monday through Friday?*
Check all areas where you are interested in volunteering.*
 
Are there other areas of interest not listed or other information about yourself you would like to share?
How did you learn about volunteer opportunities with APO?*
All Applicants - Statement of Confidentiality
Aggieland Pregnancy Outreach provides confidential services to many people in need. As a volunteer, you might come in contact with some of our clients or learn about some of their stories. It is important that the confidentiality of such information is protected. We ask that you adhere to the following guidelines in order to protect our clients.

  • Do not discuss details of clients' stories with those outside of Aggieland Pregnancy Outreach.

  • If you desire to add a client's concern to a prayer chain, do not mention a name, just a brief comment about the struggles and remind them that the Lord knows all the details.

  • Occasionally, someone in the community may find out that you are involved with APO and may ask if ______ is an APO client. Do not give out that information. You may say that the identity of all APO clients is confidential so you are not at liberty to say.

  • Never discuss a client with another staff member or volunteer in a social setting where another person could overhear.

  • Never discuss client problems with other agencies, physicians, etc. without the clients' prior written consent.

  • Always keep in mind: If you were the client, would you want to have your trust betrayed?

I have read the above statement of confidentiality and agree to follow these guidelines.*
Policies
Have you ever been convicted of any felonies and/or misdemeanors, which prohibit you from working with or within the same vicinity of minors.*
Are you on criminal probation, parole or working off community service hours for the courts?*
Please note: APO does not offer service hours to meet requirements of probation, parole, or other court obligations.
I understand that I must be at least 14 years old to volunteer.*
If I am between the ages of 14 and 17, I certify that I have discussed this volunteer application with my parent or guardian and I have been given permission to volunteer at Aggieland Pregnancy Outreach, Inc.
Waivers
Do you agree to allow Aggieland Pregnancy Outreach, Inc. (APO) and its affiliates to use your photograph and name for any and all promotional purposes?*
I waive and release any and all claims for damages that may arise and/or for any type of injuries or losses I may incur while volunteering with Aggieland Pregnancy Outreach, Inc.*
  After clicking "Submit," you will be taken to a form which screens for possible exposure to Tuberculosis.  
By clicking the Save/Submit button below you agree to InReach Solutions' Terms of Service and Privacy Policy
 
Submitting...