A.S.N.

The ASN/SLO Hep-C Project provides a variety of services with the assistance of our team of volunteers. Volunteers come from all walks of life, teens to retirees and are all able to supply clients with services that would be difficult to obtain otherwise. Volunteer services cover several broad categories: Clerical Work, Client Services, Fundraising/Public Awareness, Grove Work and area of special expertise.

Clerical Work:
Most of the volunteer work in this area revolves around the office. We use volunteers as office receptionists and to assist us with projects, such as computer data entry, bulk mailings, general office organization, food requests, food pantry organization, and other related tasks.

Direct Client Services:
Volunteers assist clients in a number of ways. We can supply help with housekeeping, gardening, meal preparation, moving assistance and transportation. We also provide clients with a "buddy", someone who is available to talk on the phone, visit, share a meal or a cup of coffee, and generally be there to support the client.

Fundraising/Public Awareness:
This category covers volunteer involvement in the area of special events such as walk-a-thons, Food Pantry Drives and other community events. We also have a panel of speakers who go into the community to give first hand accounts and presentations.

Grove Work:
Those who enjoy the outdoors, gardening, or landscaping may be interested in participation in our Grove Workdays. These are held on the second Saturday (usually) of each month from 10:00am to 1:00 or 2:00 pm. A team of volunteers meets at the Grove (located off Highway 1, in El Chorro Regional Park), and performs duties including weeding, watering, digging, planting, mulching, trimming, etc.

Specialized Areas:
We have many volunteers who have areas of expertise such as massage therapy or legal assistance.

If you have any questions regarding the volunteer program, please contact Wendy Schmidt, Volunteer Coordinator, at 781-3660.

After submitting this application you will contacted for a personal interview before being assigned any volunteer activities.



If you wish to recall and edit your volunteer information please enter your password and login number here and click on OK.
Login number		Password


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Email Address

Personal Information
The following information will be kept strictly confidential.
First Name		Address
Last Name		City
Age		State
Email Address		Zip

Home Phone		Best Time to Call
Work Phone		Best Time to Call
I am volunteering for

Briefly describe why you wish to volunteer.

Types of Service - please check all areas of interest
Clerical Work (In Office)
Phone Work		Special Projects
Bulk Mailing		Computer Input

Client Services
Housekeeping		Meals
Gardening		Moving
Transportation¹		Drivers License
Buddy²		Proof of Insurance
	¹ Requires a valid driver's license and proof of insurance ² Requires participation in the Volunteer Training Program

Fundraising and Public Awareness
Food Pantry/Food Drives		General Fundraising Activities and Events

Public Speaking/Education

Areas of Expertise
Legal Assistance		Massage Therapy (separate application required)

Grove Work
Workdays on the second Saturday of the month		Irrigation or landscaping projects

Maintenance as needed

Other Areas

Background
Educational Background and Experience:

High School Diploma or GED equivalent		College and Above

Professional Certification/licenses		Please List

Specialized Courses/Training		Please List

Employment
Full-Time		Part-Time
Retired		Student
Not presently Employed
Please list any prior employment

Volunteer Activity
Please indicate your current volunteer affiliations
Please describe your past volunteer experiences

Availability
Approximately how many hours would you like to volunteer per month?

Please indicate your availability for each of the following days
Monday From		Monday To
Tuesday From		Tuesday To
Wednesday From		Wednesday To
Thursday From		Thursday To
Friday From		Friday To
Saturday From		Saturday To
Sunday From		Sunday To

If you are doing volunteer work for service hours, how many hours are you required to fulfill?

Transportation
What types of transportation are available to you?

In which of the following areas are you willing to travel?

Paso Robles / Atascadero / Templeton		Morro Bay / Los Osos

5-Cities / Nipomo		Cayucos / Cambria

San Luis Obispo		All of SLO County

Skills
What languages do you speak other than English?		Do you have any other special skills?

Other
Describe any physical limitations you have

Do you have a problem (past or present) with alcohol or drugs?		If yes, please indicate how this may affect your work with clients.

Have you ever been arrested or convicted of a felony within the last seven years?		If so please explain

Are you volunteering as a condition of your probation?

In case of an emergency who should we contact?
Name		Address
Phone		Relation to you

Please enter a Password by which you can recall and edit this information.

If you forget your password, provide a question and an answer so that we can email it to you.
Question		Answer

If you are interested in being a "buddy" to a person living with a HIV or Hep-C infection, we require that you complete our Volunteer Training Program. You will be notified when training sessions are scheduled. If your interest is in providing occasional practical assistance such as shopping, cleaning, transportation, etc. we encourage you to attend a training session, but it is not required. It will however, be helpful to you if you access the various educational materials available at the ASN office. Volunteer work takes many forms. You may not wish to work directly with clients however, there is still a need and desire for you help as indicated on the top of this form. During your interview, you will have the chance to express more clearly your preferences. We look forward to meeting you and THANK YOU for your interest!

By submitting this application I attest and declare: I am aware that the San Luis Obispo AIDS Support Network / Hep-C Project is a charitable, non-profit organization devoting its services to helping those who are affected by the HIV and / or Hep-C Virus. I acknowledge and understand that in serving the ASN / Hep-C Project that I may learn the identity and / or names of one or more persons who are affected by these viruses. I acknowledge and agree that the above mentioned information regarding an individual's health status is confidential. Therefore, I agree never to reveal to any person, party, enterprise or undertaking any of the names, identities, data or other confidential information that I might learn in my association with ASN, now or in the future. I will assume that all information which I may learn and which is not publicly released is confidential in nature.