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It is designed to collect comprehensive personal and professional data from prospective volunteers to ensure organizational suitability. The form captures essential applicant information, including identification details, contact data, citizenship status, academic standing, and employment history. Additionally, it features sections for education, skill sets, availability, and a mandatory legal affirmation and parental consent section for volunteers under the age of 21. This structured template facilitates the gathering of sensitive personnel records in a formal manner, ensuring that the pharmacy maintains accurate documentation for all its volunteer staff while upholding necessary compliance and verification standards. 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Building   Ext.   \n***All volunteers must complete the following information for Personnel records** *  \nPLEASE PRINT CLEARLY  \nName:    \nFirst Middle Last  \nSocial Security \\#:   Date of Birth:   Sex:    \nAre you a U.S. Citizen?   Yes   No If no, please indicate VISA type & expiration:    \nAre you a student?   Yes   No If yes, please indicate where:    \nHome Address: (May not be PO Box)  \nStreet:   City:   State:   Zip:  \n________  \nHome Phone:   Mobile Phone:    \nEmail Address:    \nEmergency Contact: Name:   Relationship to you:   \nEmergency Phone:    \nAre you an LIU alum?   Yes   No Campus:   Yr. Grad:    \nHave you ever been convicted of a felony or misdemeanor?   Yes   No (exclude traffic violations with fines of $300 or less) If yes, please explain:    \nEmployment History: Last Employer:   Position Held:   Address:   \nDates of Employment:   to    \nEducation & Skills: Highest degree obtained:   School:   Year:   Major:   Skills:    \nAvailability: M – F, morning / afternoon / evening   Volunteer interests:    \nBy submitting this application, I affirm that the facts set forth are true and complete. I authorize LIU to verify any information relevant to my suitability as a volunteer. I understand that if I am accepted as a volunteer, any false statement, omissions or other misrepresentation made by me may result in my immediate dismissal.  \nName (printed):    \nSignature:   Date:    \nParental Consent (required of volunteers under the age of 21) Name (printed):    \nSignature:   Date:","cbCaic0RM2nW4yhA","https://ap.wps.com/l/cbCaic0RM2nW4yhA","pdf",279640,"English","# Personal Information\n## Contact and Demographic Details\n# Employment and Education History\n## Skills and Availability\n# Legal Affirmation and Consent","[{\"question\":\"What information is required for the personnel records of a volunteer?\",\"answer\":\"Volunteers must provide their full name, social security number, date of birth, sex, citizenship status, contact information, educational background, employment history, and any history of criminal convictions.\"},{\"question\":\"Who is required to provide parental consent?\",\"answer\":\"Parental consent is required for any volunteer applicant under the age of 21.\"},{\"question\":\"What is the purpose of the affirmation at the end of the application?\",\"answer\":\"By signing the affirmation, the applicant certifies that the provided information is true and complete, authorizes LIU to verify the data, and acknowledges that misrepresentation may lead to dismissal.\"}]","Brooklyn Pharmacy - Volunteer Application Form | PDF",1789825750]