NAB Youth Volunteer Form | buildingpeaceinc.org

Building Peace

2518 Ridge Court, Unit 206

Lawrence, Ks 66046

785-856-7000

buildingpeaceks@gmail.com

A 501(c)(3) organization

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NEIGHBORHOOD ACCOUNTABILITY BOARD (NAB)

YOUTH VOLUNTEER APPLICATION

First name

Last name

Address

Apt/Lot

City

Zip

Phone

Preferred Method of Contact Required

Text

Phone

Preferred Pronouns (if any)

Select a date

School (Current)

Grade

What qualities do you have that would make you a good volunteer?

Any after school commitments to be considered for you to serve as a volunteer, (i.e. sports, music/art, other volunteer activities). List activity and days/times)

Name of one adult who knows you well outside of your family who could be called as a reference *

Preferred Method of Contact Required

Text

Phone

Youth volunteers on NABs will be exposed to actual cases involving youth as victims and/or offenders who have been referred to Building Peace by the Douglas County District Attorney’s Office. Confidentiality of all information shared must be maintained.

As a volunteer with Building Peace, I understand that I must maintain the privacy and confidentiality of any and all case or client information. I recognize the value and sensitivity of confidential information and understand that it is protected by law. I agree to keep all such information confidential for an indefinite period of time, even after I am no longer a volunteer with Building Peace. I agree to follow the above rules of confidentiality. I understand that failure to do so will result in immediate dismissal as a volunteer.

By completion of your name and date signed below, you are agreeing to the above statement. Your participation is greatly appreciated.

Signature

Date Signed

Thank you for volunteering!