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HomeMy WebLinkAbout2026 01 14 Edivier Rivera Volunteer Chaplain Application.pdfCITY Or WINTER SPRINGS VOLUNTEER POLICY A. Purpose. The volunteers of the City of Winter Springs play a vital role in the enhancement of public services provided by each City department. Accordingly, this Policy is designed to guide the intake of City volunteers for placement in the volunteering opportunities throughout the City of Winter Springs. >3. Volunteer: Definition• General Policies Definition: For purposes of this Policy, a vokrnteer is an individual who performs hours of service in a City department for civic, charitable, health, humanitarian, recreational, public safety or general welfarereasons, without promise, expectation or receipt of compensation for services rendered, except for reimbursement of expenses, nominal fees, or a combination thereof. (i) This policy applies only to non -elected volunteers. This policy does not include volunteers appointed to a City board or committee. (ii) Volunteers do not supplant City employees; they assist paid staff or provide services that constitute elements of major regular positions and augment the established and mandated services of the City. (iii) City employees may volunteer their services to the City as long as the work they perform as a volunteer is outside their scope of duties as City employees. (iv) Individuals or entities that are (1) volunteering or working for independent contractors hired by the City or (2) individuals or associations retained by the City by separate agreement are not volunteers of the City for purposes of this Policy. Such volunteers under separate agreement shall be subject to the terms and conditions of such agreement. 2. Minors: Volunteers who have not reached the age of eighteen years must have the written consent of a parent or legal guardian prior to volunteering. C. City Manaeer or Commission Approval Required. All City volunteer positions shall require prior approval by the City Manager, the City Manager's designee, or the City Commission. Such approval shall be based o i whether the volunteer position furthers the purpose of a City department. City of Winter Springs Volunteer Policy Page I of 7 2. City departments may make requests to the City Manager for volunteer authorization basest on the needs of the Department. When making such a request, the Department shall provide the following information: (i) the purpose and scope of proposed duties for the volunteer position; (ii) the Department's need for the volunteer position; and (iii) any special qualifications required of a successful applicant. D. Application and Enrollment Process. The process for selection of City volunteers is as follows: (i) Applicants must submit a completed Volunteer Application Form to the supervisor of the volunteer position for which the application is submitted ("Supervisor"). The Supervisor shall then forward such applications to the head of the City Department that is seeking to fill such volunteer position ("Department Head"). The Department Head shall forward a copy of all such applications to HR for record -keeping purposes. (ii) The Department Head shall review Volunteer Application Forms received and may select applicant(s) for interview(s). (iii) The Deparunent Head may conduct one or more interviews of each selected applicant, in the discretion of the Department Head. Prior to being assigned to a position, all volunteers will be interviewed to ascertain their suitability for and interest in the position. The interview should determine the qualifications of the volunteer, their commitment to fulfill the requirements of the position, and should answer any questions that the volunteer might have about the position. (iv) Upon making an initial determination that an applicant is qualified for a volunteer position, the Department Head shall request that HR provide the required background checks and screening as set forth in Paragraph E of this Policy. (v) HR shall determine, in its discretion and in accordance with law, whether an applicant's background checks and screening reveal any disqualifying information. If there is no such disqualifying information, HR shall authorize the applicant for the volunteer work. The applicant may commence work as a City volunteer upon HR's authorization. 2. Enrollment. All City volunteers shall read, sign, and submit the following forms City of Winter Springs Volunteer Policy Page 2 of 7 prior to commencing ti eir 3. HR shall establish record -keeping procedures and maintain City volunteer records as required by Florida Statutes, E. Screening and Background Checks. 1. Sensitive Positions. A criminal background investigation shall be completed on all volunteers applying for a sensitive position, as identified in Section E(2), herein. Each City department has the authority to determine which volunteer assignments constitute sensitive positions. The applicant must sign the statement set forth on the Volunteer Application Form authorizing the City to conduct a criminal background investigation prior to initiation of such background check. A volunteer may not commence volunteer services until after completion of such background check. In evaluating whether a volunteer applicant may be rejected for work placement or transfer to a sensitive position, HR shall consider the following criteria: (i) The nature and seriousness of the offense(s), and the circumstances under which the offenses) occurred; (ii) The age of the person at the time of the offense(s); i) The recency of the offense(s); (iv) The number of convictions; (v) The relationship of the offenses) to the sensitive position for which application is made; City of Winter Springs Volunteer Policy Page 3 of 7 (vi) Evidence of rehabilitation and maturation, including the volunteers employment record with respect to job responsibility and duration and other volunteer efforts; (vii) Truthfulness in admitting previous record; (viii) Attitude of applicant; (ix) Other factors relevant to the volunteer's suitability, including but not limited to maturity, attitude and honesty. 2. Guidelines for Identifying Sensitive Positions•: A sensitive position may include, but is not limited to, positions that involve access to custody of cash, equipment or confidential information; involves the rendering of services to at -risk persons (such as children or the elderly); or involves dispensing City benefits to the public. 3. Contact wide At -Risk Persons. Where volunteers are to be placed in direct contact with at -risk persons (such as children or the elderly), additional screening procedures may be, instituted. These procedures may include reference checks, direct background investigation, criminal investigation, etc., as authorized or required by law. Volunteers who refuse permission for conduct of these checks will not be accepted for the volunteer position. 4. Potentially Disqualifying Job -Related Offenses: The following is a list of offenses in general/common terms, which, under certain conditions, may be incompatible with specific functions associated with volunteer work assignments; however, the list is intended only as a guide, is not comprehensive, and does not reference specific statutory terms: (i) List of Offenses Function -Access to funds or negotiable instruments Bribery Embezzlement Forgery and Receiving Stolen Property Robbery Theft City of winter Springs Volunteer Policy Page 4 of 7 Function - Access to confidential or classified materials Extortion Forgery Fraud Pei jury Receiving Stolen Property Robbery Theft Function -Charge of or access to City property Embezzlement Robbery Receiving Stolen Property Theft Function -Protection of persons or property (Law Enforcement) Assault Drug or Narcotics Offenses Child Molestation/Abuse Embezzlement Forgery and Homicide Intoxication Kidnapping Robbery Sex Offenses Theft Function -Individual contact with or care or supervision of minors Assault Child Molestation/Abuse Chronic or Recurrent Alcoholism Drug or Narcotics Offenses Homicide Kidnapping Manslaughter Offenses Against Minors City of Winter Springs Volunteer Policy Page 5 of 7 Sex Offenses Rape Robbery Theft Function -Individual contact with or care or supervision of the elderly Assault Child Molestation/Abuse Drug or Narcotics Offenses Embezzlement Forgery and Homicide Intoxication Kidnapping Manslaughter Rape Receiving Stolen Property Robbery Sex Offenses Theft 5. Certzficatio�r and Licerzsit2g. Violation of any certification or licensing requirements relating to the duties of the position in question may be the basis for disqualification. (A) The City recognizes that in some cases, volunteers must have certification of a license in order to provide certain volunteer services. To the extent that the City requires such a volunteer, and the volunteer does not yet have the required certificate or license, the City Manager may authorize, in the City Manager's discretion, the expenditure of City funds for the purpose of assisting the volunteer in obtaining such certification or license needed to provide the services required by the City. However, if said funds are paid by the City, the City Manager may require the volunteer to commit, in writing, to providing said services for a specific period of time, or the volunteer will be required to repay the funds to the City. This provision does not obligate the City to expend funds for any volunteer in need of certification or licensing for the performance of any volunteer services. City o(Winter Springs Volunteer Policy Page 6 of 7 Dishonesty in Application. Dishonesty during the application process for a volunteer position may be the basis for disqualification. Crirnival background data obtained for enrployrnent screening purposes pursuant to Chapter 435, Florida Statutes, shall be used only for such screening purposes. Such data shall be kept confidential and is exempt from the Public Records Lam Medical Treamrents. Any potential volunteer who indicates that they are under the care of a physician for either physical or psychological treatment may be asked to present a certificate from the physician as to their ability to satisfactorily and safely perform their volunteer duties. Volunteers under a course of treatment which might affect their volunteer work will not be accepted without written verification of suitability from their physician. Any volunteer who, after acceptance and assignment by the City, enters a course of treatment which might adversely impact upon the performance of their volunteer duties should consult with their supervisor. F. Orientation and Trainin>?. Orientation. All volunteers will receive a general orientation on the nature and operation of the program or activity for which they are recruited, and a specific orientation on the purposes and requirements of the position which they are accepting in that effort. 2. On -the -Job Training. Volunteers will receive specific on-the-job training to provide them with the information and skills necessary to perform their volunteer assignment. The timing and methods for delivery of such training should be appropriate to the complexity and demands of the position and the capabilities of the volunteer. G. Supervision. Volunteers shall be supervised by the Department Head, or the Department Head's designee. City of Winer Springs Volunteer Policy Page 7 of 7 Exhibit 'A" City of Winter Springs Volunteer Application Form an you for considering me City of Winter Springs as an opportunity for your volunteer activity. Please provide the following information: Edivier Rivera Your organization: Action Church Street Address: 158 Tuskawilla Rd Suite 2324 City Winter Springs State Zip 32708 Telephone 407494-7100 Choose one: Home Business Cellular Place checks in the following chart to indicate the periods of time which you currently have available for volunteer activity: For what volunteer Morning Mid -Day Afternoon l vening Monday 0 0 0 0 Tuesday 0 0 0 Wednesday 0 0 0 Thursday 0 0 0 0 Friday 0 0 0 0 Saturday 0 0 0 13 Sunday 0 0 0 0 position(s)are you applying? City Chaplain What skills do you have, such as typing, use of a computer, artistic abilities, etc.? 6rcident Management Are you under 18 years of age? /V Cl If so, Date of Birth Are you currently employed -PS If yes, where? �<��o�n„<h Are you currently a student? O If yes, where? Are you a City employee? Department? Police Chaplain Are you a retired City employee? in Department? I am able to volunteer only until: (date) Please describe your areas of interest and describe any related education or work serve our city government as their Chaplain (one who encourages, cares, and supports the 1ple who carry out the vision of the city for its citizens). serve as the Chaplain for WSPD Do you have any prior volunteer experience? If yes, please describe: WSPD Chaplain SCFD Chaplain Altamonte Springs Police Department Chaplain Are you under care of a medical professional for any physical or psychological reatment that may affect vour ability to safely and satisfactorily perform vour volunteer duties? Have you ever been convicted of, or pled "polo contendere" to, a felony? If ves. please explain: I hereby certify that all statements made in connection with. this application for volunteer work are true to the best of my knowledge. Signature Print Name Edivier Rivera Date: 1/14/26 I hereby authorize the 'tj� of Winter Sprirtgs to obtain a record of nay crintinal cotn�ictions (inchtding but not e . to pleas of "nolo contendere") from the Florida Department of Law Enforcement o n of er agency that collects records of criminal convictions. Signature // Print Name Edivier Date: 1 / 14/26 Date: Signature of Parent or Guardian (minors only) Printed Name of Parent or Guardian (minors only) Exhibit "B" City of Winter Springs Standard Volunteer Consent I agree to read and abide by the policies relating to appropriate behavior and standards of conduct to be displayed by the City volunteers. I acknowledge that, if at any time such policies are amended, I will be provided the amended policies and at such time will be responsible for abiding by any amended provisions of the policy in addition to those included in the original policy. I further understand and agree to accept the responsibilities of the volunteer position and participate in any training required by the City. I accept the guidance of my supervisor and shall notify my supervisor of absences and incidents of injury. I acknowledge that I freely donate my time without any expectation or promise of compensation. Lastly, I agree to abide by the following in carrying out my duties and understand that a violation of any of the below statements may result in my disqualification or termination: 1. I will keep confidential all information as required. 2. I will refrain from publishing any data gathered during the volunteer term and from disseminating commercial advertisements, press releases, or opinions without prior written consent of the Human Resources Coordinator. 3. I will refrain from any type of solicitation or charging, requesting or accepting any fee, gift, reward or payment of any kind for my volunteer services. 4. I will refrain from offering medical and/or legal advice even though I may be asked for such. 5. I will maintain a current driver's license and automobile liability insurance if driving is required as part of my volunteer services. 6. I will report immediately any suspected incident of abuse to children, dependent adults, or elders to appropriate authorities and the Human Resources Coordinator. 7. I agree to provide an update to the Human Resources Coordinator of any change to the information I submitted on my application during the term of volunteer period. 8. I acknowledge that I have read and understand the "External Volunteer Policies" attached hereto as Attachment "I", and will not engage in inappropriate and/or illegal conduct or behavior including but not limited to harassment, discrimination, and/or dru r hol abuse. Signature Date: 1/14/26 Print Name wivier Ri ra Date: Signature of Parent or Guardian (minors only) Printed Name of Parent or Guardian (minors only) Attachment 1. External Volunteer Policies 1. Volunteers are at-rvi/l: The City accepts the service of all volunteers with the understanding that such service is at the sole discretion of the City. Volunteers agree that the City may at any time, for whatever reason, decide to terminate the volunteer's relationship with the City. The volunteer may at any time, for whatever reason, decide to sever the volunteer's relationship with the City. Notice of such a decision should be communicated as soon as possible to the volunteer's supervisor. 2. No conflicts ofinterest: No person who has a conflict of interest under Florida law with any activity or program of the City shall be accepted or serve as a volunteer with the City. 3. Dress Code: Volunteers shall dress appropriately for the conditions and performance of their duties. 4. Lrappropriate Conduct, Discrimination and Harassntertt Prohibiter!: The City is an Equal Opportunity Employer and is committed to providing a workplace free of any type of unlawful discrimination or harassment. (i) Volunteersareprohibitedfromengaginginanytypeofinappropriateconduct,includingbut not limited to unlawful discrimination or harassment on the basis of race, religion, national origin, ethnicity, age, gender, marital status, pregnancy, disability, veteran status and/or any other legally protected characteristic. (ii) Volunteers are prohibited from engaging in unlawful harassment including verbal, physical and visual conduct based on any of the above legally protected characteristics which create an intimidating, offensive or hostile work environment or that interferes or could interfere with a volunteer's work performance. Some examples of harassment include racial slurs or jokes, disparaging remarks concerning any protected group, ethnic jokes, distribution or posting of offensive statements, posters or cartoons or other similar conduct. (iii) Volunteers are prohibited from engaging in sexual harassment. Sexual harassment may exist where a volunteer requests sexual favors or makes unwelcome sexual advances towards another individual or makes unwelcome verbal comments or displays physical conduct of a sexual nature to another individual, where the comment or conduct is unwelcome. Sexual harassment may also exist where a volunteer makes derogatory comments to an individual based on or related to such person's gender. (iv) Volunteers must report any incident involving any perceived discrimination and/or harassment experienced or witnessed by them immediately to their Supervisor and to the Department Head, as defined herein, and to the Human Resources Coordinator ("HR"). Volunteers should recognize that this policy applies equally to harassment or discrimination committed by a fellow volunteer, employee, citizen, elected official, vendor or other third parties with whom the volunteer comes into contact. (v) Every complaint of unlawful discrimination or harassment that is reported will be investigated thoroughly and promptly. Retaliation against any volunteer for making such a complaint is strictly prohibited. The complainant will be made aware of the outcome of the City's investigation upon completion. If the investigation reveals reasonable cause to believe that unlawful discrimination or harassment has occurred, the City will take prompt remedial action to stop the impermissible conduct, prevent it from occurring in the future and to appropriately discipline the person responsible. (vi) Any volunteer violating this policy is subject to discipline, up to and including termination of volunteer services. If you have questions regarding this policy or the City's complaint procedure, please direct your questions to the Human Resources Coordinator, 5. Substanee use Prohibited: The City is determined to eliminate the use of illegal drugs, alcohol, and controlled substances at its work sites. Volunteers are prohibited from use of such substances at all City work sites and volunteer sites. Use of illegal drugs, alcohol and controlled substances at City work sites or volunteer sites may result in discipline, up to and including termination of volunteer services. Your Name Organization Exhibit' C" City of Winter Springs City Volunteer Enrollment Edivier Rivera Action Church Street Address 158 Tuscawilla Rd Suite 2324 City Telephone No, Winter Springs Fl 407-494-7100 Date of Birth 08/22/80 Emergency Contact Name Nelsa Rivera Emergency Contact Phone 407-485-4705 Relationship Wife Zip 32708 Choose One: Home Business Cellular Ifyourvolunleerassignment wi.11include cb•ivitrg oroperating avehicle, please provide the follorvdng information: Driver's License: Expiration Date: 08/22/28 Auto insurance company: The following information will be completed by the Human Resources Coordinator: Volunteer Assignment Position: Location: Start Background Check Required? Yes/No Background Check Completion Date:, Vehicle Required? Yes/No End Type: Exhibit "D" City of Winter Springs City Volunteer Release of Liability In accepting a position as a volunteer with the City of Winter Springs, I agree to accept voluntary Workers' Compensation coverage as the sole and exclusive remedy for any injuries I might sustain while in such volunteer service. Such voluntary Workers' Compensation coverage will be in effect to pay for medical attention for actual injuries sustained during volunteer service subject to Workers' Compensation statutes and regulations. Since volunteer service does not include wages, such compensation does not provide for same. HOLD HARMLESS AGREEMF,NT: I agree to hold the City of W inter Springs harmless for any such injuries and agree not to pursue legal proceedings against the City for any reason associated with volunta5,serv)i: )except through the Workers' Compensation Act. of C'ilyI t'`F �yP��• Print Name of Volunteer I 1 26 Date Print Form