Welcome to the ally application

First Name

Last Name

Email Address

Phone Number

Street Address

City

State StateColorado

Zip Code

Preferred Method of Contact Preferred Method of ContactSMS TextEmailPhone Call

Which Ally Cohort are you applying for? Which Ally Cohort are you applying for? Class Starting in October 2020Class Starting in February 2021

How Did You Hear About Us? How Did You Hear About Us? Community Partner Organization Referral from a Previous/Current Volunteer Referral from a Previous/Current Leader Referral from a Previous/Current CrossPurpose Staff Member Community Event/Flyer Online Advertisement / Social Media Providence Bible Church I am a CrossPurpose Alumni Referral from someone not connected to CrossPurpose Volunteer Match Google Search

If applicable, please provide the name of the person/organization who referred you to CrossPurpose

Gender

Date of Birth

Marital Status Marital Status Single Married/Domestic Partnership Separated Divorced Widowed Other Prefer Not to Answer

Race/Ethnicity Race/Ethnicity American Indian or Alaskan Native Asian Black or African American Hispanic or Latino or Latina Middle Eastern or North African Native Hawaiian or Pacific Islander White/Caucasian Other

What Religion do you most identify with, if any?

What church or faith institution do you attend, if any?

What is your current household income? What is your current household income? $0 - $25,000 $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $125,000 $125,000+ Prefer not to answer Other

What is your current employment status? What is your current employment status? Employed Full-Time Employed Part-Time Unemployed and Currently Applying for Jobs Unemployed and Not Currently Looking for Work Full-Time Student Military Stay-at-Home Parent or Caregiver Self-Employed Retired, with 10+ years of Professional Experience Retired, with less than 10 years of Professional Experience Unable to Work Currently on Temporary Leave due to COVID-19

Your current employer (if employed) OR most recent employer (if retired or unemployed)

Your current job title (if employed) or most recent job title (if retired or unemployed)

Job Description / Primary Responsibilities

How long have you worked / how long did you work this job?

Where do you attend school?

What Degree are you pursuing?

What is the highest level of education that you have completed? What is the highest level of education that you have completed? Less than a high school diploma High school diploma or GED Technical or Vocational Certificate Some College, No Degree Associate's Degree Bachelor's Degree Doctoral Degree Master's Degree Other

Which education institutions have you attended? (Please list all that apply)

Please list any certifications or degrees that you have earned

How did you hear about CrossPurpose, and what sparked your interest in our volunteer program?

Why do you want to become an Ally Volunteer?

What background, skills, resources, or experiences do you believe you can bring to our Leaders (program participants)?

When was a time in your life when you displayed resiliency?

One of the primary responsibilities of an Ally is having the ability to be a strong support for the Leaders (program participants) in our program. Tell us about your experience in "bearing other peoples' burdens" or walking with others through difficult challenges or circumstances?

Which aspects of the Ally program are you expecting to be the most difficult for you?

How confident do you feel about being able to regularly engage with and relate to Leaders in a meaningful way? How confident do you feel about being able to regularly engage with and relate to Leaders in a meaningful way?Very ConfidentConfidentSomewhat ConfidentNot Confident

How confident are you that you will be able to attend 100% of Wednesday night, on-campus Family Gathering events for the 6-month duration of your Ally commitment? How confident are you that you will be able to attend 100% of Wednesday night, on-campus Family Gathering events for the 6-month duration of your Ally commitment?Very ConfidentConfidentSomewhat ConfidentNot Confident

Do you have prior volunteer experiences with other organizations? Do you have prior volunteer experiences with other organizations?YesNo

If yes, which organizations have you volunteered with?

Please list the name and email address of any contacts at this organization who can speak to your volunteer experience

Have you ever been charged with a criminal offense? Have you ever been charged with a criminal offense?YesNo

If yes, please list the charge, class, and year of each conviction

Are you currently on probation or parole? Are you currently on probation or parole? YesNo

Are you required to register as a sex offender? Are you required to register as a sex offender?YesNo

Please be aware that Leaders in our program are NOT allowed to use marijuana recreationally. Therefore, we ask that your Ally involvement with Leaders or other Allies does not involve the use of marijuana. Additionally, some of our Leaders and Allies may have struggled with alcohol moderation in the past. We ask that you be sensitive to the struggles of others when engaging in activities with fellow program participants Please be aware that Leaders in our program are NOT allowed to use marijuana recreationally. Therefore, we ask that your Ally involvement with Leaders or other Allies does not involve the use of marijuana. Additionally, some of our Leaders and Allies may have struggled with alcohol moderation in the past. We ask that you be sensitive to the struggles of others when engaging in activities with fellow program participants Please check the box if you understand and agree to uphold our substance policy, and be sensitive to the above-mentioned dynamics

Are you a CrossPurpose Alumni? Are you a CrossPurpose Alumni?YesNo

Please list one CrossPurpose Staff Member who can serve as a reference for you

In order for me to participate as a volunteer with CrossPurpose, after due consideration of my age, health, physical condition and ability, and any inherent risk and personal risks involved in CrossPurpose activities, I voluntarily agree to assume all risks of loss that arise out of my participation and agree to waive any and all claims against CrossPurpose and the other parties described below.I realize that working with CrossPurpose may involve risks and hazards, including but not limited to the risk of injury, to me. I am aware of the risks and hazards inherent in my participation in CrossPurpose and do hereby assume sole responsibility for all such risks and waive all claims against CrossPurpose and their respective agents, representatives, officers, employees, successors, assigns, and insurers. I agree that I will abide by the rules of CrossPurpose while participating as a volunteer. In order for me to participate as a volunteer with CrossPurpose, after due consideration of my age, health, physical condition and ability, and any inherent risk and personal risks involved in CrossPurpose activities, I voluntarily agree to assume all risks of loss that arise out of my participation and agree to waive any and all claims against CrossPurpose and the other parties described below.I realize that working with CrossPurpose may involve risks and hazards, including but not limited to the risk of injury, to me. I am aware of the risks and hazards inherent in my participation in CrossPurpose and do hereby assume sole responsibility for all such risks and waive all claims against CrossPurpose and their respective agents, representatives, officers, employees, successors, assigns, and insurers. I agree that I will abide by the rules of CrossPurpose while participating as a volunteer. To acknowledge that you have read, understood, and voluntarily agreed to the foregoing waiver and release agreement, please check the box

Occasionally photos and videos are taken of CrossPurpose activities and participants to show others what the organization is like. I hereby give CrossPurpose permission to use such images of myself in activities for public relations, marketing, and other purpose. Occasionally photos and videos are taken of CrossPurpose activities and participants to show others what the organization is like. I hereby give CrossPurpose permission to use such images of myself in activities for public relations, marketing, and other purpose. To give CrossPurpose the above-mentioned permissions, please check the box

To the best of my knowledge and barring unforeseen and unavoidable circumstances, I commit to doing my absolute best to attend all Wednesday night Family Gatherings from 6:00pm - 8:00pm, whether onsite or via Zoom Call. I understand that if my attendance falls below 80% OR I miss 3 consecutive Family Gatherings, it will negatively impact my small group, and I may be asked to leave the Ally program. To the best of my knowledge and barring unforeseen and unavoidable circumstances, I commit to doing my absolute best to attend all Wednesday night Family Gatherings from 6:00pm - 8:00pm, whether onsite or via Zoom Call. I understand that if my attendance falls below 80% OR I miss 3 consecutive Family Gatherings, it will negatively impact my small group, and I may be asked to leave the Ally program. Check the box to agree

By completing this application, I understand that I give CrossPurpose the right to review my completed background check, should I decide to complete the background link sent to me by CrossPurpose. By completing this application, I understand that I give CrossPurpose the right to review my completed background check, should I decide to complete the background link sent to me by CrossPurpose. Check the box to agree

I understand that completion of this application and the ensuing background check DOES NOT guarantee entry into the CrossPurpose Ally Program, and I agree to abide by CrossPurpose's final decision regarding whether the Ally Program is the best fit for me at this time. I understand that completion of this application and the ensuing background check DOES NOT guarantee entry into the CrossPurpose Ally Program, and I agree to abide by CrossPurpose's final decision regarding whether the Ally Program is the best fit for me at this time. Check the box to agree