SunshineAcresChildren’sHomeVolunteerApplicationInstructions 

Two applications are available.  If you are interested in the Two Hearts Horsemanship Program, please 

print the application designated for that program.  Both applications require the same basic instructions 

for completion as follows: 

These are PRINT ONLY applications in pdf, so each page must be printed and completed by the 

applicant.  The volunteer packet contains the following information: 

Memo (Cover letter) page, Application page, Confidentiality Policy page, Skills/Interest/Education page, 

Criminal History Self Disclosure Affidavit (AZ State form – 5 pages), References (3 pages). 

The Two Hearts Horsemanship Program volunteer material also contains additional pages as follows:  

Application page, Areas of Interest (2 pages), Questionnaire (3 pages), Liability Agreement (3 pages). 

OF NOTE:  All questions on the AZ Criminal History Self Disclosure Affidavit must be answered.  Your 

personal information and two questions are on the first page, followed by four additional pages that 

require answers.  Your signature must be notarized on the first page, so DO NOT SIGN AFFIDAVIT UNTIL 

a notary is present to verify your signature.  Most credit unions, banks and RV Resorts have notaries 

available. 

Three references are required.  Be sure that three reference pages print and add your name, phone 

number and date on the first line so that we will know who is being referenced. 

For any questions not answered here, please contact the Volunteer Office at Sunshine Acres Children’s 

Home by calling (480) 832‐2540. 

Thank you for your interest in volunteering at Sunshine Acres.  We are happy to welcome new 

volunteers who believe in our Mission and want to help us make a positive difference in a child’s life. 

  

M E M O

TO: Potential Volunteers

FROM: Carol Whitworth, Executive Director

RE: Volunteer Application Process

We are so excited that you are interested in participating in our Ministry! Sunshine Acres Children's Home has been around since 1954, and so much has happened because of volunteers! Landscaping, painting, cleaning, tutoring and many other possibilities are available at various times throughout the year as a volunteer to Sunshine Acres! As with any role, certain areas of help are not needed at all times of the year, however, there are usually plenty of opportunities to be of vital help in the areas you are skilled! As with most organizations before you can begin volunteering there is an application and background check necessary. Please complete the following steps, and we’ll be in touch with you about the many opportunities we have for volunteers! Volunteer Application Process:

• Complete and return the Application Packet and • Return three Completed References • Interview with Volunteer Coordinator • Fingerprint Card -- Required when volunteering in the school,

or as a session instructor and/or chaperone in the horse program.

The fee to obtain a fingerprint card is $65, plus an additional $12 to have fingerprints taken. Any help you can give with this fee is appreciated. This would be considered a tax-deductible contribution.

Thank you for your interest in being a part of our ministry team! Sincerely, Carol Whitworth Carol Whitworth Executive Director Sunshine Acres Children's Home

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

VOLUNTEER APPLICATION (Please print legibly)

Your Name ________________________________________ Application Date _____________

Address _____________________________________________________________________

City __________________________ State _______________________ Zip ______________

Phone _____________________________ Date of Birth ______________________________

Email Address (Please print legibly) _______________________________________________________

Residence: Year Around ____ Seasonal ____ (Arrival Date _____________ Depart Date ____________

PERSON TO CONTACT IN CASE OF EMERGENCY

Name _________________________________________ Relationship __________________________________

Address ________________________________ City __________________ State __________ Zip ___________

Contact Phone Numbers 1st_____________________________ 2nd ____________________________________

NOTE: You must exclude yourself from any duties requested of you that you are physically unable to perform.

If you are a SERVICE LEARNING STUDENT, please complete the following:

Name of School ____________________________________ Course ___________________________________

Name of Professor __________________________________ Phone Number _____________________________

Number of Hours Required __________ What is required by your professor upon completion of your service learning

hours? ______________________________________________________________________________________

VOLUNTEER INTERESTS

1. ______ Boutique (Cashier, sales assistant, clean and repair merchandise, organize, boutique cleaning & stocking)

2. ______ Dining Hall (Prep food, organize supplies, wash dishes, general cleaning) Food Handler’s Card? ______

3. _____** Hairdresser (Cut hair monthly per pre-assigned schedule, clean and sweep salon as needed)

4. _____** Horse Program (Session Instructor, clean stalls/barn, groom animals, raise funds, miscellaneous duties) 5. ______ Maintenance (Electrical, mechanical, plumbing, painting, construction, landscaping)

6. ______ Office (Answer phones, forward calls, schedule tours and pick ups, greet guests, miscellaneous cleaning)

7. _____** School (Classroom assistant, tutor or homework aide, elective instructor and/or assistant)

8. ______ Special Events (Annual Optimist BBQ, Annual Golf Tournament, Raise Funds)

9. ______ Warehouse (Sort, organize, sales assistant, receive donations, move furniture, assist customers)

**These areas may require a Fingerprint Clearance Card. Are you willing to pay all ____; or part of the cost? ____

Days/Hours Available (Select days and give specific hours you will be available)

___________ Morning ____________ Afternoon ____________ All Day

______Mon ______Tues ______Wed ______ Thurs ______ Friday ______Saturday ______Sunday

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

Confidentiality Policy

As a volunteer at Sunshine Acres Children’s Home, I understand that I must, in accordance with Sunshine Acres Children’s Home volunteer policies and DES regulations abide by the same child confidentiality and professional standards as paid staff. Contact between the child and Sunshine Acres Children’s Home is a highly privileged and confidential relationship, and it is the responsibility of staff (paid and unpaid) to hold in absolute confidence any and all information concerning a child. _______ All information regarding admitted children of Sunshine Acres Children’s Home of Initial Mesa, Arizona, and/or their parents, family, legal guardians, or those charged with their care, is confidential and shall be treated as such, and shall not be divulged to unauthorized personnel. _______ All information regarding employees of Sunshine Acres Children’s Home of Mesa, Initial Arizona, and/or family, is confidential and shall be treated as such, and shall not be divulged to unauthorized personnel. _______ Employees or volunteers found to be in violation of this policy may have their Initial relationship with Sunshine Acres terminated.

Volunteer Pledge Believing that Sunshine Acres Children’s Home has a real need of my services as a volunteer, I will be punctual and conscientious in the fulfillment of my duties and accept supervision gracefully. I will conduct myself with dignity, courtesy, and consideration. I will consider as confidential all information which I may hear directly concerning a child, house parent or any member of the staff, and will not seek confidential information in regard to a child. I will take any problems, criticisms or suggestions to the Volunteer Coordinator. I will uphold the Christian Mission Culture and standard of excellence of Sunshine Acres Children’s Home and will interpret them to the community at large.

Volunteer Disclaimer I understand that I participate as a volunteer at Sunshine Acres Children’s Home at my own risk. In the event of an injury, I personally accept responsibility for the full expense of medical attention as well as other expenses arising out of such injury. Some projects may have inherent risks associated with them, and I personally accept responsibility to know what risks and I will not undertake any activity that may be too high a level of risk for my capabilities. I further agree to release and hold Sunshine Acres Children’s Home, its Board of Trustees, officers, employees and unpaid staff harmless from and against all losses from claims or liabilities for personal damages or other damages incurred as a result of my participation as a volunteer, whether or not they result from Sunshine Acres Children’s Home’s negligence. I understand that I am not an employee of Sunshine Acres Children’s Home and shall not be eligible for, or covered under, any benefit program maintained by the Sunshine Acres Children’s Home including but not limited to worker's compensation, health insurance, disability, and business travel accident coverage. By signing below I certify that I have read, understand and agree to comply with the above statements.

Signed __________________________________________ Date __________________

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

SKILLS – INTERESTS – EDUCATION

Name __________________________ Please share your hobbies and interests as well as areas in which you have educational, professional, or life experiences in which you desire to share your skills. Indicate your skill level by using: (A) – very skilled, (B) – moderately skilled. ____ Antiques/Collectables ____ Landscaping ____ Art ____ Math - basic ______ higher math _______ ____ Calligraphy ____ Mechanics ____ Carpentry ____ Music (vocal/instrumental) ____ Clerical Skills ____ Organizing ____ Computer Skills (Mac, PC, Software) ____ Painting ____ Cooking ____ Photography ____ CPR/First Aid ____ Plumbing ____ Crafts ____ Public Speaking ____ Decorating ____ Reading - grade proficiency ____________ ____ Drama/Dance ____ Sales (Retail, Wholesale) ____ Electrical ____ Scrapbooking ____ Event Planning ____ Sewing ____ Floral Design ____ Typing ____ Furniture Repairs and/or Building ____ Upholstery ____ Gardening ____ Weaving ____ Grant Writing ____ Writing – grade proficiency _____________

____ Other _________________________________________________ Education: ____________________________________________________________________ Experience with: (Mark all that apply.) ____ Preschoolers ____ Junior High School ____ Elementary School ____ Teenagers ____ High School ____ Learning Disabled What do you picture yourself doing when you volunteer at Sunshine Acres Children’s Home? (Please exclude yourself from any activities you believe to be physically stressful for you.) Additional information or comments you wish to share -- (You may use this space for more details about your specific skills/interests):

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

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REFERENCE (Applicant: Please include three (3) completed references with your application)

Applicant Name ____________________________ Phone _______________Date __________

Reference Name _________________________________ Phone _______________________

Address _____________________________________________________________________

Relationship to Applicant __________________________ Number of years known __________ 1. Which of the following best describes your perception of the person? (Please circle all that apply)

Cooperative Cheerful Leader Hostile Responsible

Aggressive Trustworthy Critical Bossy Domineering

Follower Quiet/Reserved Helpful Organized Optimistic

Passive Talks too much Pleasant Anxious Doesn’t talk much

Takes initiative Follows directions Creative Enthusiastic Dependable

2. Have you ever observed the applicant interacting with children? YES NO If yes, please circle all that apply. If no, please skip to the next question.

Patient Nurturing Friendly Respectful Critical

Playful Permissive Abusive Gentle Controlling

Yells Energetic Attentive

- Please circle if you have observed either or both of the following.

Inappropriately affectionate Inappropriately expressing anger

- If either or both are circled, please describe what you have observed.

3. How do you rate the applicant to follow through with his or her commitments? Please give specific examples. 4. Have you ever known the person to be involved with any of the following? (Please circle any that apply.)

Addiction or abuse of alcohol, prescription or illegal drugs,

Attempted suicide Criminal conviction

5. Sunshine Acres Children’s Home is a faith-based organization providing a loving, wholesome, Christian home for children. Will the applicant model and support the traditional Biblical guidelines for conduct, relationships, sexuality and marriage for kids? Yes_____ No_____ 6. If you have any reservation about this person working with any of the following groups of children, please circle all that apply.

Elementary-aged children Junior High School age children

Teenagers in High School Your own child

7. What else is important for Sunshine Acres Children’s Home to know about the applicant, positive and/or negative?

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

REFERENCE (Applicant: Please include three (3) completed references with your application)

Applicant Name ____________________________ Phone _______________Date __________

Reference Name _________________________________ Phone _______________________

Address _____________________________________________________________________

Relationship to Applicant __________________________ Number of years known __________ 1. Which of the following best describes your perception of the person? (Please circle all that apply)

Cooperative Cheerful Leader Hostile Responsible

Aggressive Trustworthy Critical Bossy Domineering

Follower Quiet/Reserved Helpful Organized Optimistic

Passive Talks too much Pleasant Anxious Doesn’t talk much

Takes initiative Follows directions Creative Enthusiastic Dependable

2. Have you ever observed the applicant interacting with children? YES NO If yes, please circle all that apply. If no, please skip to the next question.

Patient Nurturing Friendly Respectful Critical

Playful Permissive Abusive Gentle Controlling

Yells Energetic Attentive

- Please circle if you have observed either or both of the following.

Inappropriately affectionate Inappropriately expressing anger

- If either or both are circled, please describe what you have observed.

3. How do you rate the applicant to follow through with his or her commitments? Please give specific examples. 4. Have you ever known the person to be involved with any of the following? (Please circle any that apply.)

Addiction or abuse of alcohol, prescription or illegal drugs,

Attempted suicide Criminal conviction

5. Sunshine Acres Children’s Home is a faith-based organization providing a loving, wholesome, Christian home for children. Will the applicant model and support the traditional Biblical guidelines for conduct, relationships, sexuality and marriage for kids? Yes_____ No_____ 6. If you have any reservation about this person working with any of the following groups of children, please circle all that apply.

Elementary-aged children Junior High School age children

Teenagers in High School Your own child

7. What else is important for Sunshine Acres Children’s Home to know about the applicant, positive and/or negative?

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041

REFERENCE (Applicant: Please include three (3) completed references with your application)

Applicant Name ____________________________ Phone _______________Date __________

Reference Name _________________________________ Phone _______________________

Address _____________________________________________________________________

Relationship to Applicant __________________________ Number of years known __________ 1. Which of the following best describes your perception of the person? (Please circle all that apply)

Cooperative Cheerful Leader Hostile Responsible

Aggressive Trustworthy Critical Bossy Domineering

Follower Quiet/Reserved Helpful Organized Optimistic

Passive Talks too much Pleasant Anxious Doesn’t talk much

Takes initiative Follows directions Creative Enthusiastic Dependable

2. Have you ever observed the applicant interacting with children? YES NO If yes, please circle all that apply. If no, please skip to the next question.

Patient Nurturing Friendly Respectful Critical

Playful Permissive Abusive Gentle Controlling

Yells Energetic Attentive

- Please circle if you have observed either or both of the following.

Inappropriately affectionate Inappropriately expressing anger

- If either or both are circled, please describe what you have observed.

3. How do you rate the applicant to follow through with his or her commitments? Please give specific examples. 4. Have you ever known the person to be involved with any of the following? (Please circle any that apply.)

Addiction or abuse of alcohol, prescription or illegal drugs,

Attempted suicide Criminal conviction

5. Sunshine Acres Children’s Home is a faith-based organization providing a loving, wholesome, Christian home for children. Will the applicant model and support the traditional Biblical guidelines for conduct, relationships, sexuality and marriage for kids? Yes_____ No_____ 6. If you have any reservation about this person working with any of the following groups of children, please circle all that apply.

Elementary-aged children Junior High School age children

Teenagers in High School Your own child

7. What else is important for Sunshine Acres Children’s Home to know about the applicant, positive and/or negative?

3405NORTHHIGLEYROAD, MESA, ARIZONA85215 (480)832‐2540 FAX(480) 832‐2041