LDC Volunteer Application

Please complete the online volunteer application form below and click to submit it once it is completed. Someone will get back to you regarding your application.

If you prefer to download and print out the application instead, you may do so by clicking here. Once completed you may drop it off during regular business hours.

Volunteer Application

Date available to start*
MM slash DD slash YYYY
Full legal name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Date of Birth*
Home Phone
Cell Phone
May we text you?
Yes
How did you hear about us?*
Why do you want to volunteer at Longview Dream Center?*
Have you ever volunteered anywhere before?*
- Yes
- No
If yes, where and what did you do?
Briefly describe previous and/or present employment experience.*
Do you have any special interests, hobbies, or talents?*
The following is required by the state of Texas:
Have you ever been convicted of a felony?*
- Yes
- No
Have you ever been convicted of a misdemeanor?*
- Yes
- No
If you answered YES to either of the questions above, please describe. (This will not make you ineligible to serve at the Longview Dream Center.)
Emergency Contact Information
Please list two emergency contacts.
Name*
First Last
Phone*
Name*
First Last
Phone*
Medical Information
Do you have any physical limitations that may limit the type of volunteer work that you can do?*
- Yes
- No
If YES, please explain.
Preferred hospital*
Longview Dream Center Volunteer Agreement
I agree to serve as a Longview Dream Center volunteer and commit to the following:
1. To complete all required training for the volunteer positions I accept.
2. To abide by all guidelines and procedures of the Longview Dream Center.
3. To respect the confidential nature of all recovers and personal contact with clients.
4. To work cooperatively with staff and other volunteers.
5. To meet time and duty commitments and give adequate notice so that alternative arrangements can be made if I cannot fulfill my obligation.
Longview Dream Center Confidentiality Form – All Volunteers
I understand that I am required to complete all training for the volunteer position I accept, to abide by all guidelines and procedures of the Longview Dream Center, to respect the confidential nature of all records and personal contact with clients, and to work cooperatively with staff and other volunteers.
Longview Dream Center Policy and Procedures
I have read the above and have received, read and understand the Longview Dream Center Policy and Procedures.
Electronic Signature*
First Last
Date*
MM slash DD slash YYYY
Liability Statement
I wish to volunteer my services to the Longview Dream Center, a 501 (c)3 organization. I hereby agree and release you as follows:
1. I willingly and freely agree to volunteer and hereby assume any and all risk, with respect to any liability of the Longview Dream Center for such risk, including without limitation, risk of any accident or injury to person or property which I may sustain in connection with my participation as a volunteer.
2. The undersigned hereby releases the Longview Dream Center and its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates from liability and covenants not to sue for any and all claims and causes of action, whether known or unknown, arising out of, based upon or relating to my participation hereunder.
3. I further irrevocably grant to the Longview Dream Center, its assigns and successors my consent and full right to: my name, photograph, likeness, image, voice and biography in any and all media, publications, social media, advertising, and publicity, in connection with my volunteer participation hereunder.
4. This release shall inure to your benefit, as well as to the benefit of your successors, licensee, agents, employees, affiliates, and assigns. This release shall be governed by the laws of the State of Texas.
I have read and agree to the Liability Statement*
- Yes
- No
Electronic Signature*
First Last
Date*
MM slash DD slash YYYY
Criminal Background Screening Policies

Policy for Criminal Background Screening
All new or potential volunteers must complete an application packet which includes a Background Verification Release Form. To complete the background check, volunteers must include their driver’s license and social security number. Once the criminal background has been finished, the Longview Dream Center staff will evaluate the information and a decision will be made.
Background Check Offenses
As a general rule, subject to the specific nature and severity of the offense(s), the volunteer applicant may be deemed ineligible to work or provide services to the Longview Dream Center if the volunteer is identified as having committed any of the following offenses. The Longview Dream Center reserves the right to extend considerations identified bases on the seriousness and time since the offense(s):
- An offense against a minor within the past ten years
- A sexual offense within the past ten years
- Any matter involving a felony within the past ten years
- A drug offense that is deemed relevant to the subject’s assignments within the past five years
- An alcohol offense within the past three years
- Any other offense that is deemed relevant to the subject’s assignments within the past five years
- Any recurring matter involving any other type of criminal offense, especially if more than one occurrence of the same type of offense is alleged to have taken place within the previous eight years Although disqualification is possible, a previous conviction does not automatically disqualify an applicant from consideration of volunteering with The Longview Dream Center. The Executive Director will consider the following factors in determining whether a candidate is eligible for volunteering with the Longview Dream Center:
  
  The relevance of the conviction to the duties and responsibilities of the position of which selected
  
  The nature of the conviction(s)
  
  The age of the candidate when the illegal activity occurred
  
  The dates of the convictions
  
  The candidate’s record since the date(s) of the conviction(s) Disqualification from Volunteer Participation: The following rules shall apply if The Longview Dream Center learns (via criminal background search) that a prospective volunteer/host has been convicted of, has pled guilty to, has deferred adjudicative for, or has pled no contest to one of the following crimes under the laws of any State within the United States, or any other nation. Automatic Disqualification:
  
  Homicide
  
  Crimes of rape, criminal sexual penetration, criminal sexual contact, incest, indecent exposure, or other related sexual offenses
  
  Crimes using weapons
  
  Arson
  
  Any violent crime, felony drug-related offense or trafficking in controlled substances
  
  Crimes involving child abuse, neglect, or residing on the same premises as a registered sex offender
  
  Crimes involving adult abuse, neglected or financial exploitation All information supplied by potential volunteer is held in the strictest confidence and not divulged to any other staff member, board member or volunteer.
All information supplied by potential volunteer is held in the strictest confidence and not divulged to any other staff member, board member or volunteer.
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Please complete the online volunteer application form below and click to submit it once it is completed. Someone will get back to you regarding your application.

Volunteer Application

The following is required by the state of Texas:

Emergency Contact Information

Medical Information

Longview Dream Center Volunteer Agreement

Longview Dream Center Confidentiality Form – All Volunteers

Longview Dream Center Policy and Procedures

Liability Statement

Criminal Background Screening Policies

Policy for Criminal Background Screening

Background Check Offenses