guild application
I agree to the above requirements and responsibilities of a Junior Shelter Guild Member
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No
Full Name:
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Partner's Name:
Local address:
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City, State, Zip
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Are you a seasonal resident?
Yes
No
If "yes," please provide your typical dates of residency in Naples (example: October to April)
Non-local address:
City, State, Zip
Community name:
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Home phone:
Cell phone:
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Non-local phone:
Email
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Date of birth
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Are you currently serving as a staff member of another nonprofit in Naples? If so, please list:
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Are you currently serving as a board member of another nonprofit in Naples? If so, please list:
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Educational background:
Current/Previous occupations:
Current/Previous volunteer experience:
Areas of Interest with The Shelter Guild:
Have you previously toured The Shelter?
Yes
No
Have you previously toured The Shelter Options Shoppe?
Yes
No
Have you previously volunteered for The Shelter?
Yes
No
Sponsor/Individual who introduced you to The Shelter or how you heard about The Shelter:
MEMBERSHIP RESPONSIBILITIES: I understand the responsibilities of membership in The Shelter Guild. 1. Take a tour of The Shelter and The Shelter Options Shoppe. 2. Select a committee on which you wish to volunteer. 3. Attend 2 out of 3 Guild meetings each season. 4. Serve as an Ambassador in the community for The Shelter and The Shelter Options Shoppe. 5. Volunteer at least 24 hours of service to The Shelter's behalf during each year of membership in The Shelter Guild. (Please enter your name with the same wording you use for your signature as this field is considered an online signature.)
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Date:
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SHELTER GUILD CONFIDENTIALITY AGREEMENT: As a member of The Shelter Guild of The Shelter for Abused Women & Children, I understand that Florida statute (39.908 and 90.0528) prohibits the release of identifying information about the agency’s participants or residents. Communications, including identity, between participants, residents, and staff are confidential and privileged under law. Staff is expressly prohibited by law from releasing the names or identifying details of a participant or resident to any member of The Shelter Guild. Through my role as a member of The Shelter Guild, I know that from time to time I may inadvertently learn the identity of a participant or resident (through visits at the organization’s program facilities or otherwise). I understand that I am subject to the constraints of the law to keep such information strictly confidential. I understand that participants or residents may be persons who I know of or meet through work, church, social activities, neighbors, etc. I know that I may not ask any staff member for any information about any participant or resident and to do so is a breach of trust and grounds for my dismissal as a member of The Shelter Guild of The Shelter for Abused Women & Children. (Please enter your name with the same wording you use for your signature as this field is considered an online signature. (Please enter your name with the same wording you use for your signature as this field is considered an online signature. (Please enter your name with the same wording you use for your signature as this field is considered an online signature.)
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Date:
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