NASPCB VOLUNTEER APPLICATION

Thank you for your interest in volunteering! Completion of this application is for interest in the below services needed throughout the year by the NASP/IASP, Inc. Certification Program  and the NASPCB. We look forward to your help in promoting workplace safety!

Emergency Contact

Please enter at least one phone number for your contact.

Demographic Information

Demographic Information: This section is optional. Volunteers completing this form must hold a High School Diploma or GED. This section is used to gather the demographic make-up of our volunteers.

Background Disclosure

NASPCB may obtain arrest and conviction records and reported unethical behavior on all potential volunteers. An arrest or conviction will not automatically eliminate you from consideration for volunteering. However, failure to list all pending charges and/or convictions may lead to your disqualification or termination of volunteering with NASPCB. Examples may include, but not limited to: driving while impaired, worthless checks, assault, driving while license is suspended, disorderly conduct, credit card fraud, embezzlement, etc.

Confidentiality

If accepted as a volunteer, I understand I will be required to sign and uphold the NASPCB Code of Ethics, Non-Disclosure, and Conflict of Interest Agreements.

Volunteer Agreement

As a volunteer, I understand and agree: 

  • My services are donated to NASPCB without contemplation of compensation or future employment.
  • Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age, gender or sexual orientation.
  • Completing a volunteer application does not guarantee placement given the number of applicants may exceed the number of available openings and must be approved by the NASPCB Board of Advisors.
  • The information provided is accurate and verification shall be provided upon request.
  • By checking 'I agree' this serves as your agreement and attestation of the statements in this volunteer agreement.

To see the NASPCB Code of Ethics, Conflict of Interest and Non-Disclosure Agreements Click here.