Volunteer Position Description

Existing New Additional Facility
Multi-purpose form used to describe volunteer service and to request access to additional IDOC facilities. Complete and submit the form and any supporting documentation to the facility
volunteer religious coordinator.
First Name:      
MI:  
Last name:      
Address:      
City:      
State:   
Zip:      
Contact Phone:      
Work Phone:      
E-mail address:      
Organization Name:      
Organization Contact:      
Phone:      
Organization Web Address:      
E-Mail Address:      
Fax:      
Type of Activity:
Photograph
(if you have a picture,
submit it with the form)
Employment/Job Skills
Computer Skills
Literacy/Education
Parenting
Religious/Faith-Based
Reentry/Life
Skill Arts/Crafts
Substance Abuse
Other (please explain):      
Name of Activity/Program/Service:      
Facility (all):      
Please indicate your preferences below. Not all preferences can be accommodated.
Preferred Length: </w: 60 minutes
90 minutes
120 minutes </w:t></w:r><w: Other (explain)
Preferred Duration:
6 weeks 12 weeks
16 weeks </w:t></w: Other (explain)
Preferred Time of Day:
A.M.
P.M.
Capacity of Activity:   
Preferred Cycle:
Target Population:
Is there Selection Criteria for Participation?
Yes
No
Weekly
Bi-Weekly
Male
Female
No preference
Monthly
Quarterly
Minimum
Medium
Close
Annually
Segregation
Other (explain)
Other (explain)
Community (explain):      
List your qualifications and experience for this activity:      
Activity/Program Components: If applicable, please list goals, objectives, study materials, workbooks, etc., and intended benefit to offenders.

***Complete the form, save to computer, and attach to an email to the VRC***
Email addresses can be found at
http://www.idoc.idaho.gov/content/prisons/volunteer_services/volunteer_coordinatorshttp://www.idoc.idaho.gov/content/prisons/volunteer_services/volunteer_coordinators
Staff Use Only
Volunteer ID #
Level-2 Status
Hours Completed:
Deputy Warden:
Date:
Mentor
Approved: Yes No
Approved: Yes No
Deputy Warden (equivalent):
Date:
New Facility
Approved: Yes No
VRC:
Date:
Comments:

IDAHO DEPARTMENT OF CORRECTIONVolunteer Position Description
(Fill in Form)
Appendix C
606.02.01.001
(Appendix last updated 1/10/2014)