Restorative Justice Services Volunteer Application

Note: Volunteer applications, are always accepted however new volunteers are only brought into the programs when needed.

Thank you for expressing interest in volunteering for the City of Fort Collins Restorative Justice Services.

1. Volunteer Application Process

Complete and submit the attached volunteer application

Email to restorativejustice@fcgov.com Submit via mail to:

Restorative Justice Services PO Box 580 Fort Collins, CO 80522

RJ Staff will review your application materials and may contact you for a volunteer interview

A background check is required for anyone accepted as a volunteer

New volunteers attend a 3 hour new volunteer training2. Job description

This unpaid volunteer position works with young people 10-22 who have committed eligible offenses, and have chosen Restorative Justice as a meaningful way to repair the harm caused by their offense. Volunteers participate in Restorative Justice Circles with the young people and represent the community perspective on how the crime impacted the community. Some volunteers work in other areas such as administrative work and special projects.

3. Expectations

Attend and participate in the 3 hour new volunteer training

Actively participate in RESTORE sessions and/or RJCP conferences. (Sign up for at least 8 conferences orsessions per year, unless your volunteer work is focused in another area )

Keep names of victims and offenders or any other identifying information confidential.

Show up for any event you sign up to attend.

Never be late for a RESTORE session or a RJ conference.

Always use respectful and restorative language.

Report any statements regarding harm to a minor (under 18 years of age), the intent to commit a felonycrime, or the intent to inflict bodily harm on oneself or another to program coordinators, LawEnforcement and/or Social Service.

Attend and participate in volunteer meetings and professional development skill-buildingsessions; make efforts to maintain and increase your skill level.

Mentor less-experienced volunteers; accept and integrate feedback from participants, peers,and program coordinator; provide program improvement input and assistance as needed.

Use excellent mediation and communication skills including interacting effectively andsensitively with people from varying social, cultural, and economic backgrounds.

4. Time commitment and availability

RJ looks for volunteers who are able to commit to the program for one year or more.

RESTORE sessions are the 2nd Saturday of every month from 8:15am – 1:30pm.

RJCP cases are typically during the week (usually begin after 4:00 pm).

Volunteers may occasionally be asked to help with special projects; hours will vary.

Application for Volunteer Position—Page 1

Application for Volunteer Position INSTRUCTIONS Each question should be fully and accurately answered. Please print legibly or type, except for the signature at the end of the application.

PERSONAL INFORMATION

Name: ____________________________________________ Date: ____________________

Mailing Address: _______________________________________________________________

E-mail Address: _______________________________________________________________

Telephone Number: (home/cell) _____________________ (business) ____________________

Date Available for Volunteer Work: ___________________

Are you interested in volunteering for: Mediation? ☐yes ☐no ☐not sure, send more info

Restorative Justice? ☐yes ☐no ☐not sure, send more info

Are you age 18 or older? ☐yes ☐no If no, please list your date of birth: _________________

Do you have a valid driver’s license? ☐yes ☐no If yes, Driver’s License #: ________________

Have you volunteered for the City of Fort Collins before? ☐yes ☐no If yes, list the dates,

department(s), and responsibilities: ____________________________________________________

________________________________________________________________________________

Do you now have pending or have you ever been convicted of or received a deferred sentence, deferred judgment, or a deferred prosecution for a petty offense, misdemeanor traffic offense, (excluding civil traffic infractions), municipal code violation (excluding civil traffic infractions), misdemeanor, or felony, or been adjudicated as a juvenile for an offense that is public record?

☐yes ☐no

If yes, please state the offense(s) that are pending or you were arrested for or convicted of and explain the date, location, nature and facts surrounding each offense:

_________________________________________________________________________________

_________________________________________________________________________________

EMPLOYMENT AND VOLUNTEER HISTORY Please attach your resume showing relevant employment and volunteer experiences; include starting & ending dates, supervisor’s name, and duties performed.

REFERENCES List a minimum of 3 professional references and their contact information:

Name How do you know him/her? Phone and/or email

Mediation & Restorative Justice Services

Application for Volunteer Position—Page 2

EDUCATION AND SKILLS Please list any related education, vocational, technical, or military training. Also list your computer-related skills, ability to speak other languages, or other relevant additional information: _________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

CERTIFICATION AND RELEASE I certify that all statements made in this application are true and complete. I authorize the City to investigate all statements made as a part of this application and to secure any necessary information from all prior employers, volunteer programs, references, academic institutions, law enforcement agencies, other persons and entities, and public records. I hereby release all such persons, entities, employers, volunteer programs, references, institutions, agencies and the City from any and all liability arising from their giving or receiving information about my employment history, academic credentials, qualifications, reputation, driving record, and criminal record. A photocopy of this release can be used for all purposes.

I understand that any false answers or misleading statements as well as misrepresentations by omission made by me as part of my application, will be sufficient for rejection of my application or for my immediate discharge should one be discovered after I have started volunteer activities.

I understand that nothing in this volunteer application, in the City's statement of personnel policies or in my communication with any City employee or official is intended to create an employment contract between the City and me. Accordingly, either I or the City may terminate my volunteer status at-will at any time with or without cause or notice. I understand that the at-will nature of the volunteer relationship can only be changed in a specific writing signed by the Director of Human Resources. I understand that I will not be paid or receive any other remuneration for my services as a volunteer with the City.

I understand that successful completion of a background check is a qualification to work in certain programs.

I hereby acknowledge that I have read, understand, and agree to the preceding statements.

Applicant Signature: ____________________________________ Date: _______________________

PARENTAL CONSENT FOR APPLICANTS UNDER 18 YEARS OF AGE

As the parent or guardian of the above volunteer applicant, I hereby consent to his/her participation as a volunteer for the City of Fort Collins.

Printed Name of Parent/Guardian ____________________________ Date ___________________

Signature of Parent/Guardian ____________________________ Phone _____________________

Resume Substitute for MRJS Volunteer Application updated March 2016

Resume Substitute Print/Type Your Name: ____________________________________________

EMPLOYMENT AND VOLUNTEER HISTORY List your current or most recent employment or volunteer experience FIRST. Please print legibly or type your responses.

1 Name of Business or Organization:________________________________________________

Address of Business or Organization: ______________________________________________

Name of Supervisor: ________________________ Telephone No. ______________________

Responsibilities: _______________________________________________________________

____________________________________________________________________________

Worked with them from: (mm/yyyy)_______________ to: (mm/yyyy)________________

Paid Employment? ☐yes ☐no Volunteer Work? ☐yes ☐no

2 Name of Business or Organization:________________________________________________

Address of Business or Organization: ______________________________________________

Name of Supervisor: ________________________ Telephone No. ______________________

Responsibilities: _______________________________________________________________

____________________________________________________________________________

Worked with them from: (mm/yyyy)_______________ to: (mm/yyyy)________________

Paid Employment? ☐yes ☐no Volunteer Work? ☐yes ☐no

3 Name of Business or Organization:________________________________________________

Address of Business or Organization: ______________________________________________

Name of Supervisor: ________________________ Telephone No. ______________________

Responsibilities: _______________________________________________________________

____________________________________________________________________________

Worked with them from: (mm/yyyy)_______________ to: (mm/yyyy)________________

Paid Employment? ☐yes ☐no Volunteer Work? ☐yes ☐no

Complete and attach additional sheets as needed.

Mediation & Restorative Justice Services

Confidentiality Agreement

I, (print name) ____________________________________, as a volunteer City of Fort Collins, understand that acting in that capacity I will have access to certain information (the “Confidential Information”), whether of a technical, business or any other nature, disclosed in any manner, whether verbally, electronically, visually or in a written or tangible form, which is either identified as confidential or which should be reasonably understood to be confidential in nature.

Employee Confidential Information may include, but is not limited to, Social Security numbers, dates of birth, garnishments, child support, medical related data, police records, home address, telephone numbers, work schedules, and other individually identifiable information.

Customer Confidential Information may include, but is not limited to, Customer names, Social Security numbers, dates of birth, medical-related data, police records, work or home addresses, telephone numbers, work schedules, personal financial information, and other individually identifiable information.

I understand that as an authorized user of City of Fort Collins systems and network, I will have access to computing and networking resources to the extent necessary to perform my volunteer duties. I further understand that I must keep any passwords assigned to me for access to the computing and networking resources confidential.

I acknowledge that:

• It is my responsibility to maintain the Confidential Information in strict confidence;

• I will not use or permit others to use the Confidential Information except as required by volunteer duties; and

• I will take all reasonable measures to avoid disclosure, dissemination, or unauthorized use of the Confidential Information, except where disclosure is consistent with established City of Fort Collins policy, state or federal law.

_________________________________ __________________

Signature Date

Volunteer Liability Waiver and Agreement—Page 1

Volunteer Liability Waiver and Agreement

I, (print name) ____________________________________, promise to take due care during my volunteer activities and am aware of the hazards and risks that may be associated with my participation in volunteer activities with the City. I understand, accept, and assume all such hazards and risks and waive all claims against the City of Fort Collins, its officers, agents, volunteers and employees for any injuries suffered by me or damages to my property arising out of or related to my participation in volunteer activities with the City. Further, I agree to indemnify the City of Fort Collins, its officers, agents, volunteers and employees against, and be responsible for, all harm, injury or damage I willfully and wantonly cause to any persons, property or equipment in conjunction with my participation in such volunteer activities with the City.

The risks and hazards that may be associated with my participation in volunteer activities with the City include the following:

1. Heavy Outdoor Duties-- heavy lifting, kneeling, standing, stooping, walking or moving over rough terrain, animal bites, kicks, injury from use of hand tools (shovels, rakes, wheelbarrows), planting trees, exposure to stinging or poisonous wildlife/plants, sometimes limited cell phone reception, exposure to extreme temperatures, sunburn, dehydration, cold.

_______ (initials of volunteer) _________ (initials of volunteer manager)

2. Moderate Outdoor Duties--lifting, small tools, pulling weeds, gardening to include lifting bags of soil, bike riding over rough terrain, crossing roads, bike/pedestrian counts, picking up trash (possible exposure to trash, human waste, drug paraphernalia, weapons etc.), exposure to stinging or poisonous wildlife/plants, interacting with the public, exposure to extreme temperatures, sunburn, dehydration, cold.

________ (initials of volunteer) ________ (initials of volunteer manager)

3. Light Outdoor Duties-- special event/festival, interaction with members of the public, doing crafts, setting up tents, distributing information, crafts/activities with kids or adults, moving supplies, unloading/loading vehicles, set up, take down, exposure to extreme temperatures, sunscreen, dehydration, cold.

________ (initials of volunteer) ________ (initials of volunteer manager)

4. Moderate Indoor Duties--- Indoors, front desk or public facing work, providing information, light bending, stooping, kneeling, standing/walking long periods of time

_______ (initials of volunteer) ________ (initials of volunteer manager)

Volunteer Liability Waiver and Agreement—Page 2

5. Light Indoor Duties-- computer work, research, data entry, filing, minute taking, mailings, etc.

_______ (initials of volunteer) ________ (initials of volunteer manager)

City staff or other volunteers may take photos of volunteer activities for City marketing purposes unless a volunteer provides written notification to the City that he or she does not authorize use of volunteer’s photos for this purpose.

I will not drive a vehicle to conduct City business unless authorized to do so by my City supervisor. I understand that I must report all traffic violation citations received while driving on City business, or any suspension or revocation of my driver’s license, to a City supervisor immediately. Prior to conducting any City business in my automobile, I will secure and maintain all State of Colorado insurance requirements and hold a valid Driver’s License any time I conduct City business in my automobile.

I understand that nothing in written materials provided to me by the City or in my communication with any City employee or official is intended to create an employment contract between the City and me. Accordingly, either the City or I may terminate my volunteer status at will at any time with or without cause or notice.

Signature__________________________ Date ____________________________

Printed Name__________________________

Restorative Justice Volunteer Questionnaire

1) How did you find the City of Fort Collins Restorative Justice Services?

2) Why are you interested in volunteering with our program?

3) What skills/ knowledge/resources can you share?

4) What would make you feel like your volunteer work was a good experience?

5) How will this volunteer work meet your needs?

6) What prior experience do you have related to Restorative Justice?

7) What prior training do you have that is related to the Restorative Justice field?

8) What experience do you have working with youth and young adults?