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Building Peace

2518 Ridge Court, Unit 206

Lawrence, Ks 66046

785-856-7000

buildingpeaceks@gmail.com

©2021 by buildingpeaceks.org

A 501(c)(3) organization

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NEIGHBORHOOD ACCOUNTABILITY BOARD (NAB)

YOUTH VOLUNTEER APPLICATION

Preferred Method of Contact

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

Preferred Method of Contact

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.

Thank you for volunteering!

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