Volunteer Application VARCS

Volunteer Application

Also available is a pdf version (39k) that you can print and mail or drop off.

Your Contact Information

Name

Address

Postal Code

E-mail

Home Phone

Work Phone

Is it okay to call you at work? Yes No

Volunteer Interests

Have you volunteered for an AIDS group before? Yes No

If yes, which group:

What are you interested in doing with VARCS?

Drivers' Program (requires own vehicle)

Home Help (light cooking and housekeeping)

Home & Hospital Visiting

Mobile X - mobile needle exchange

Your Experience

Please describe your experience with people who are street-involved or dealing with addictions:

Please describe your experience with gay men:

Please describe your experience in working with people living with HIV/AIDS:

For People Interested In Volunteering With Mobile X:

What training have you had that is relevant to working with potentially dangerous clients?

Please describe your beliefs about drug use.

Are you in a twelve-step or other recovery program? Yes No

Are you receiving treatment for any mental health issues? Yes No

What do you think would be your biggest challenge in working with people who are in active addiction?

What qualities do you possess that make you a good candidate for volunteering with the Mobile X?

Criminal Records Check

VARCS requires all volunteers to supply a criminal records check. If you have a recent records check please submit a copy - if you do not, VARCS will provide you with a letter to take to your local police station. Volunteers with support letters from the sponsoring agency may be charged $10.00 - this fee is fully reimbursed by VARCS when a receipt is submitted.