Volunteer at ACLAMO ACLAMO is in large part volunteer-driven. In the FY 2023-2024, over 216 volunteers contributed approximately 2,653 hours to support daily operations and events among other activities. It’s astounding how many people from all walks of life come to ACLAMO to give their time and talent as volunteers. From college students to business professionals to retirees to people who have just arrived in Philadelphia from other countries – they come to the ACLAMO to make a difference, and they absolutely do! Behind every ACLAMO program and event is an army of committed volunteers. Direct service delivery, special events, steering committees, outreach and administrative support – they do it all. If you’re interested in volunteering, please fill out this application and we will contact you soon. Thank you for your interest! All fields with * are required. Name* First Last Email* Your Phone Number*Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency Contact Information Name:*Emergency Contact - Relationship*Emergency Contact - Phone*Are you bilingual in Spanish and English?* Yes, fully bilingual No, English only No, Spanish only Fluent English and Conversational Spanish Fluent English and Basic Spanish Fluent Spanish and Conversational English Fluent Spanish and Basic English Which days are you available for volunteer assignments?* Monday Tuesday Wednesday Thursday Friday Saturday Please select which option best applies to you*Please note that volunteers are most needed 9:00 am-5:30pm, Monday-Saturday I am available during morning hours (8am-12pm) I am available during afternoon hours (12pm-5pm) I am available for Saturday volunteering None of these apply Please indicate your preference between the following options:* I am interested in short-term volunteering (less than 3 months or one-time events) I am interested in a long-term volunteer commitment (more than 3 months) What are your areas of interest within our volunteer program?*Please check all that apply Administrative Support Special Events Document Translation (Spanish/English) Employment Services (Reception, data entry, phone calls) Family Services (organizing food pantry, clothing closet, follow-up phone calls) Youth Development Program (After School Program/ Mon-Thu 3:30 PM to 5:30 PM, ADELANTE Program/ Sat 10:00 AM to 12:00 PM) Advocacy Adult Education Programs (data entry/student registration) English as a Second Language (ESL) Teacher's Assistant Communications and Marketing Other What other area of interest do you have?Special Skills or QualificationsPlease summarize any special skills (computer skills, design skills, research, and event planning, for example) or qualifications you have acquired from employment, previous volunteer work, or through other activitiesPrevious Volunteer ExperiencePlease list your previous volunteer experience (if any) and duration of volunteer servicePlease select which of the following options best describes you* Food Distribution ONLY 17 years old or younger 18 + years old Promotoras AgreementsDear volunteer, please be aware that after you fill the forms we might make a pre-screen interview over the phone. If we believe your skills and our needs are a good match, we will invite you to our offices for a face to face orientation/interview.Name* First Last School Name* Episcopal School Conestoga High School The Harverford School Radnor Highschool Means of Transportation to ACLAMO:*AgreementsDear volunteer, please be aware that after you fill the forms we might make a pre-screen interview over the phone. If we believe your skills and our needs are a good match, we will invite you to our offices for a face to face orientation/interview. Prior to Act 4 of 2016, background checks more than 12 months old could not be used for prospective school staff and service providers; however, Act 153 of 2015 amending the Child Protective Services Law (CPSL) required Section 111 checks be renewed every 60 months. The passing of Act 4 aligns the School Code with the new CPSL requirement and permits any of the three required background checks to be used by potential applicants for up to 5 years (i.e., 60 months). Please be aware that PA Child Protective Services Law requires that all employees, and volunteers working around children need all clearances required by law. Please note you will need to have a printer ready to access the clearances and or/certificates. Volunteer’s state clearances are now available for free. Name* First Last College/University/ Company (If employed):*Confidentiality AgreementAs an employee/volunteer of ACLAMO Family Centers Programs, I understand that I may have access to confidential information about students and their parents. By signing this statement, I am indicating my understanding of my responsibilities to maintain confidentiality and agree to the following: I agree not to divulge, publish, or otherwise make known to unauthorized persons or to the public any information obtained in the course of my working/volunteer relationship that could identify the persons who participated in the program. I understand that I can NOT take pictures, videos, produce or reproduce any images of the students and their parents. I understand that all information about students and their parents obtained or accessed by me in the course of my work is confidential. I agree not to divulge or otherwise make known to unauthorized persons any of this information, unless specifically authorized to do so by office protocol or by a supervisor acting in response to applicable law or court order, or public health or clinical need. I understand that I am not to read information and records concerning students and their parents, or any other confidential documents, nor ask questions of study participants for my own personal information but only to the extent and for the purpose of performing my assigned duties on this research project. I understand that a breach of confidentiality may be grounds for disciplinary action, and may include termination of employment/volunteer services. I agree to notify my supervisor immediately should I become aware of an actual breach of confidentiality or a situation which could potentially result in a breach, whether this be on my part or on the part of another person. Employee/Volunteer Signature*Date of Signature* MM slash DD slash YYYY Confidentiality AgreementAs an employee/volunteer of ACLAMO Family Centers Programs, I understand that I may have access to confidential information about students and their parents. By signing this statement, I am indicating my understanding of my responsibilities to maintain confidentiality and agree to the following: I agree not to divulge, publish, or otherwise make known to unauthorized persons or to the public any information obtained in the course of my working/volunteer relationship that could identify the persons who participated in the program. I understand that I can NOT take pictures, videos, produce or reproduce any images of the students and their parents. I understand that all information about students and their parents obtained or accessed by me in the course of my work is confidential. I agree not to divulge or otherwise make known to unauthorized persons any of this information, unless specifically authorized to do so by office protocol or by a supervisor acting in response to applicable law or court order, or public health or clinical need. I understand that I am not to read information and records concerning students and their parents, or any other confidential documents, nor ask questions of study participants for my own personal information but only to the extent and for the purpose of performing my assigned duties on this research project. I understand that a breach of confidentiality may be grounds for disciplinary action, and may include termination of employment/volunteer services. I agree to notify my supervisor immediately should I become aware of an actual breach of confidentiality or a situation which could potentially result in a breach, whether this be on my part or on the part of another person. Como empleado / voluntario de los Programas de ACLAMO, entiendo que puedo tener acceso a información confidencial sobre los estudiantes y sus padres. Al firmar esta declaración, estoy indicando que entiendo mis responsabilidades de mantener la confidencialidad y estoy de acuerdo con lo siguiente: Acepto no divulgar, publicar o dar a conocer a personas no autorizadas o al público cualquier información obtenida en el curso de mi relación de trabajo como voluntario que pueda identificar a las personas que participaron en el programa Entiendo que NO puedo tomar fotografías, videos, producir o reproducir ninguna imagen de los estudiantes y sus padres Entiendo que toda la información sobre los estudiantes y sus padres obtenida o accedida por mí en el curso de mi trabajo es confidencial. Acepto no divulgar ni dar a conocer a personas no autorizadas ninguna de esta información, a menos que esté específicamente autorizado para hacerlo por el protocolo de la oficina o por un supervisor que actúe en respuesta a la ley aplicable o una orden judicial, o una necesidad clínica o de salud pública. Entiendo que no debo leer información y registros relacionados con los estudiantes y sus padres, o cualquier otro documento confidencial, ni hacer preguntas a los participantes del estudio para mi propia información personal, sino solo en la medida y con el propósito de realizar mis deberes asignados en este proyecto de investigación. Entiendo que una violación de la confidencialidad puede ser motivo de acción disciplinaria y puede incluir la terminación del empleo / servicios voluntarios. Estoy de acuerdo en notificar a mi supervisor de inmediato si me doy cuenta de una violación real de la confidencialidad o de una situación que podría resultar en una violación, ya sea de mi parte o de otra persona. Firma del empleado / voluntario*Date/ Fecha:* MM slash DD slash YYYY Photograph/video Authorization Form Forma de Autorización para usar fotografías/videosName* First Last I hereby authorize ACLAMO Family Centers to use photographs or videos of me or my family in brochures, pamphlets, advertising and other purposes in any way relating to ACLAMO and its programs. Yo, autorizo a ACLAMO Centros de Familia a usar fotografías o videos mías o de mi familia en los panfletos, y cualquier otro material publicitario de ACLAMO con el propósito exclusivo de promocionar la organización y sus programas. Signature (firma)*Date (fecha):* MM slash DD slash YYYY By submitting this application, I affirm that the statements set forth in it are true and complete. I understand that if I am accepted as an ACLAMO volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. *Clearance Documentation1. Verified 'PA Child Abuse History Clearance' DocumentComplete the process at http://www.compass.state.pa.us/cwis/public/home and upload your certificate here.Accepted file types: pdf, Max. file size: 10 MB.2. Verified 'Pennsylvania Access To Criminal History' Document*Complete the process at https://epatch.state.pa.us/ and upload your certificate here.Accepted file types: pdf, Max. file size: 10 MB.3. Completed 'Mandated Reporting Training Certificate' Certificate*Complete the training at https://www.reportabusepa.pitt.edu/ and upload your certificate here.Accepted file types: pdf, Max. file size: 10 MB.4. Obtain an FBI fingerprint clearance*Complete the 'Digital Fingerprinting' process at https://www.identogo.com/ and upload your document here. Please call TEL 844-321-2101 if you need help regarding this process. For Employment use CODE: 1KG756 For Volunteer use CODE: 1KG6ZJAccepted file types: pdf, Max. file size: 10 MB.Clearance DocumentationVerified 'Pennsylvania Access To Criminal History' Document*Complete the process at https://epatch.state.pa.us/ and upload your certificate here. Complete el proceso hacienda click en el siguiente enlace https://epatch.state.pa.us/ y suba su documento aquíAccepted file types: pdf, Max. file size: 10 MB.Confirmation of DataBy submitting this application, I affirm that the statements set forth in it are true and complete. I understand that under no circumstances am I allowed to solicit business to ACLAMO's clients. I understand that if I am accepted as an ACLAMO volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.Name*Please type your name below as a signature certifying that you have entered only factual information on this application First Last It is the policy of ACLAMO to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability. Name*Please type your name below as a signature certifying that you have entered only factual information on this application First Last Confirmation of DataBy submitting this application, I affirm that the statements set forth in it are true and complete. I understand that if I am accepted as an ACLAMO volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Al enviar esta solicitud, afirmo que las declaraciones establecidas en ella son verdaderas y completas. Entiendo que si soy aceptado como voluntario de ACLAMO, cualquier declaración falsa, omisión u otra tergiversación hecha por mí en esta solicitud puede resultar en mi despido inmediato. Name*Please type your name below as a signature certifying that you have entered only factual information on this application Escriba su nombre a continuación como una firma que certifique que ha ingresado solo información fáctica en esta solicitud First Last It is the policy of ACLAMO to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability. Es política de ACLAMO brindar igualdad de oportunidades sin distinción de raza, color, religión, nacionalidad, género, preferencia sexual, edad o discapacidad.Name*Please type your name below to indicate that you have read and understood ACLAMO Equal Opportunity Policy Escriba su nombre a continuación para indicar que ha leído y comprendido la Política de igualdad de oportunidades de ACLAMO First Last Untitled Δ
