Volunteer Application

Thank you for your interest in volunteering! We're excited to have you at UNI. If you have any questions, feel free to contact C.J. DeMille, our volunteer coordinator, at cjdemille@unidetroit.org or at 313-451-8380. 

Personal Information 

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Date of Birth*
How did you hear about us?
Why are you interested in volunteering with UNI?
What program are you interested in volunteering with? (Check all that apply)*
  • Park Curation & Clean-Up
  • Administrative Support
  • Digital Media & Social Media
  • Youth Programming
  • Special Events & Outreach
  • Other
Have another skill you'd like to share with UNI? We would love your help! Please share your ideas here:

Availability

On what days and during what times would you like to volunteer?*
  • Evening
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Morning
  • Afternoon
How often would you like to volutneer? (Weekly, bi-weekly, monthly)*

References

Please list the names and contact info of 3 individuals who can serve as character references for you.
Are you volunteering as part of a group (e.g. school or corporation)?*

Skills, Interests and Background

What is your occupation?
Where do you work currently?
What is your educational background?
What are your hobbies, special interests or trade?
Do you have any specific limitations/health restrictions that would impact your service with UNI? If yes, please explain.
Have you ever been convicted of a crime? If yes, please explain.
Have you ever been suspended or discharged from employment? If yes, please explain.
Have you had an alcohol or drug addiction problem in the last ten years?
Do you verify that the information you have provided in this application is correct?*
  • Yes

Any person working directly with youth at any UNI sites or programs must have this clearance completed prior to interacting with youth. Child abuse and neglect clearances can be performed at any branch office of The Michigan Department of Human Services (DHS).  Please call before going to ensure they will be able to give you the correct clearances.  Our agency will need the ORIGINAL copy to the clearance letter, not a photocopy. 

 

The following Wayne County Offices offer Same Day Clearances

 

Children’s Services Administration
Western Wayne District
4505 Oakman Blvd.
Detroit, MI 48202
313-934-3323

 

Children’s Services Administration
South Central District
1801 E. Canfield
Detroit, MI 48207
313-578-5310

 

Children’s Services Administration
North Central District
13233 Hamilton Avenue
Highland Park, MI 48203

 

List of other DHS Clearance Locations

 

(You will need an englarged and clear copy of your photo identification as well as a Clearance Request Form)

Scroll to bottom of page for: Central Registry Clearance Request Form

Cost:  Currently, this clearance is no cost.

Open the following link in a new tab to read the Volunteer Policies & Procedures before submitting this application. 

Volunteer Policies & Procedures 

Are you volunteer under 18 years of age? Please print and submit a completed UNI Minor Volunteer Waiver. 

UNI Minor Volunteer Waiver

I agree to participate, on a voluntary basis, in the volunteer program sponsored by Urban Neighborhood Initiatives. By my signature, I recognize that Urban Neighborhood Initiatives has not undertaken any duty or responsibility for my safety and I agrees to assume full responsibility for all risk of bodily injury, death, disability, and property damage as a result of my participation. 


By checking yes, I hereby state that I understand the risks involved in participating in the program named above and I willingly and voluntarily accept these risks. 


By checking yes, I hereby surrender any right to seek reimbursement from Urban Neighborhood Initiatives and its directors, officers, employees, volunteers, and other agents for injury sustained and liability incurred during my volunteer service. 


By checking yes , I warrant that I am not relying on any oral representations, statements or inducement apart from the statements made on this form.

I have read, understand, and agree to the Volunteer Policies and Procedures and the Volunteer Agreement as listed above. By checking "yes" I submit my electronic signature.*
  • Yes
Additional Comments

Security Code

Share This Form

Powered by eTapestry.