Volunteer Application


STATEMENT OF CONFIDENTIALITY



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STATEMENT OF CONFIDENTIALITY



All Volunteers are expected to respect the confidential nature of information concerning the children to which they might have access during the course of performance of their daily duties and shall not disclose the same either within or outside the home except as necessary for the care of the child.


All Volunteers should ask residents for permission before taking their picture, and should never use the child’s name when displaying the pictures in any form.

Volunteers will be knowledgeable of sensitive information relating to the children in our care. Hephzibah Children’s Home asks all Volunteers to abide by the following statements:

I realize that details of a child’s placement, treatment, past history, current behavior, and family history must be regarded as confidential.

I will not disclose any information concerning children or families with anyone but authorized staff unless approved by the Director or CEO.

I realize that I am agreeing to act in accordance with Hephzibah Children’s Home policy of confidentiality at all times.



I have read and understand the above statements.


______________________________ _ _______________________ Volunteer Signature Date


CODE OF ETHICS
It is my intent, as a volunteer of Hephzibah Children Home to make these “standards of conduct” a daily part of my work routine at Hephzibah Children’s Home.

 


  1. My daily conduct with my fellow volunteers and HCH staff will be with kindness, understanding and always in a professional manner.

  2. I will always show respect to my immediate supervisor and other volunteers.

  3. I will abide by the rules and regulations that are established in order for me to fulfill my volunteer job responsibly.

  4. I will not willfully do anything that will place this agency at risk with state and federal regulations.

  5. I will not do anything that will place any resident at the risk of being injured, hurt or unsafe in any way.

  6. I will always uphold the Christian standard in my daily conduct, in what I say and the things I do.

  7. I will be faithful and punctual in my volunteer job performance.

  8. I will carry out my volunteer job responsibility to the best of my ability.

 

 
____________________________ ___ _________________

Volunteer Signature Date

 


LIABILTY WAIVER
I, ____________________________, declare myself to be a volunteer worker at Hephzibah Children’s Home. I have voluntarily come to Hephzibah to work on various construction projects and to assist in whatever work that may be assigned to me. I assume the risk of personal injury I may receive while working at Hephzibah. However, I take full and sole responsibility for any and all injuries that I may incur while working for Hephzibah Children’s Home. At no time will I expect, ask or hold Hephzibah Children’s Home responsible for the cost or treatment of any injury or loss that I may incur while here. This includes the cost of any kind of emergency or long term treatment needed for my care. Furthermore, I will not hold Hephzibah Children’s Home, the staff, directors or other volunteers responsible for the loss of any personal items or belongings while visiting or working on the site of Hephzibah Children’s Home.

_______________________________ ______________________

Volunteer Signature Date


VOLUNTEER TEAM SUMMARY
Name of Group: Date of Visit:
Team Leader:
Number of Team Members:
Team Member Names & Ages: ____________________
_____________________________________________________________
_____________________________________________________________
Contact Phone Number: __________________________
Contact Email: _____________________
Date of Arrival: Date of Departure:
First Time Visit? Lodging:
Purpose or Goal in Mind for Visit:
Activities to Repeat:
Activities Not to Repeat:
Special Needs of Group:
Importance of Spending Time with Children:
Number of Male Team Members: Number of Female Team Members:
Average Age Range: Average Health:

VOLUNTEER STANDARDS OF CONDUCT
All volunteers of Hephzibah Children Home will make these “standards of conduct” a daily part of their work routine at Hephzibah Children’s Home.

 


  1. Daily conduct with fellow volunteers and HCH staff will be with kindness, understanding and always in a professional manner.



  1. Always show respect to immediate supervisors and other volunteers.




  1. Abide by the rules and regulations that are established in order to fulfill any volunteer job responsibly.




  1. Do not willfully do anything that will place the agency at risk with state and federal regulations.




  1. Do not do anything that will place any resident at risk of being injured, hurt or unsafe in any way.



  1. Always uphold the Christian standard in daily conduct, in what is said and done.




  1. Be faithful and punctual in volunteer job performance.




  1. Always travel in twos, never be alone.




  1. Carry out all volunteer job responsibilities to the best of your ability.

If the “standards of conduct” are broken, the steps to disciplinary actions are as follows:

    1. Verbal Warning will be given for non-serious offenses.

    2. Conversation with Camp Director.

    3. Offender will be removed from contact with kids immediately.

    4. Written statements from eye witnesses will be collected.

    5. Based on outcome, the offender may be sent home immediately at their own expense.



EMERGENCY PROCEDURES
THE MOST IMPORTANT RULE: Remain calm in cases of emergency.

Under NO circumstances should any group of children be left unsupervised during an emergency.




  1. In Case of Fire

    1. Be familiar with the location, type and operation of fire extinguishers in buildings.

    2. Know two exits of evacuation from the building.

    3. Upon sighting an out-of-control fire, remove everyone from immediate danger.

    4. Alert Office. The office will call the fire department.

    5. Sound fire alarm, if available.

  2. In Case of Storm

    1. Tornado siren will sound

    2. Be familiar with the location.

    3. Move to the most inside area of the nearest building, away from windows

    4. If away from buildings look for the a dip in the land or a ditch if available

    5. Remain inside until tornado siren has stopped




  1. Notify one of the following HCH Staff in case of emergency:

Peter Bagley, Executive Director 478-972-1854

Tom Taylor, Volunteer Coordinator 630-418-4408


  1. If Emergency Medical Assistance is required, call 911.


Hospitals and Emergency Centers in the Area:
Coliseum Northside Hospital

400 Charter Blvd.

Macon, GA 31210

478-757-6091


Medical Center of Central Georgia

777 Hemlock St.

Macon. GA 31201

478-633-1000


“Quick-Med” Medical Center Northwest

5925 Zebulon Rd.

Macon, GA 31220

478-757-7865



ON & OFF CAMPUS INFORMATION
Accommodations:
Sleep Inn 140 Plantation Inn Dr., Macon, GA 31220

Tel: (478) 476-8111 Fax: (478) 476-1107

$49.99 + tax/night

Guest Apartments Includes: Sheets, Towels, Soap, Kitchen (dishes, pans, linens etc),



(0n campus) phone, Internet, Dish Satellite TV

(suggested donation is $25/night/person)

RV Connections Suggested Donation: $10.00 per night/site



(0n campus)
Meals Dining Hall, when served. Access to pantry.


Airport Transportation: Groome Transportation - (478) 471-1616

Restaurants: (located less than 1 mile away)


Buffalo’s

Pizza Hut

Chick-Fil-A

Polly’s

Johnny’s New York Style Pizza

Sonic

Krystal

Subway

Marble Slab Creamery

Sunrise Chinese

Margarita’s Mexican

Taco Bell

McAllister’s

Taki Japanese

McDonald’s

Waffle House

Nu Way Weiners

Wendy’s

Papa John’s Pizza

Zaxby’s



Shopping: (located less than 1 mile away)


Kroger

Walmart

CVS

Lowe’s

Goodwill

Kohl’s

Walgreen’s





ATTRACTIONS

Attraction

Address

Miles from Hephzibah

Zebulon Road Area







Am Star Movie Theaters

5996 Zebulon Rd., Macon 31220

1.0 miles

Macon Area







Lake Tobesofkee

6600 Moseley Dixon Rd., Macon 31220

11 miles

Ocmulgee Indian Mounds

1207 Emery Hwy, Macon 31217

13 miles

Hay House

934 Georgia Ave. Macon 31201

12 miles

Cannon Ball House

856 Mulberry St., Macon 31201

10 miles

Georgia Sports Museum

301 Cherry St., Macon, 31201

10 miles

Tubman Museum

340 Walnut St., Macon 31201

11 miles

Sidney Lanier House

935 High St., Macon 31201

10 miles

Museum of Arts and Science

4182 Forsyth Rd., Macon 31210




Children’s Museum

370 Cherry St., Macon 31201

10 miles

Middle Georgia Area




6 miles

Lane Peach Packing Company

50 Lane Rd., Ft. Valley, 31030

30 miles

Dickey Peach Farms

3440 Old 341, Musella, 31066

22 miles

Atlanta Area







Georgia Aquarium

225 Baker St., Atlanta, 30313

80 miles

The Varsity

61 North Ave., Atlanta 30308

80 miles

Six Flags Over Georgia

7561 Six Flags Rd. SW Austell 30106

86 miles

World of Coke

121 Baker St. Atlanta 30313

80 miles

CNN Center

190 Marietta St. NW, Atlanta 30313

80 miles

Zoo Atlanta

800 Cherokee Ave. SE, Atlanta 30315

74 miles

Atlanta Cyclorama and Civil War Museum

800 Cherokee Ave. SE, Atlanta 30315

74 miles

High Museum

1280 Peachtree St. SE, Atlanta 30309

80 miles

Fernbank Science Center/Museum of Natural History

156 Heaton Park NE, Atlanta 30307

80 miles

Jimmy Carter Presidential Library

441 Freedom Pkwy, Atlanta 30307

80 miles

Joel Chandler Harris Home/The Wren’s Nest

1050 Ralph Abernathy Blvd.SW, Atlanta 30310

80 miles

Home of Margret Mitchell

990 Peachtree St. NE, Atlanta 30309

80 miles

Stone Mountain




84 miles

Center for Puppetry Arts

1404 Spring St. NW, Atlanta 30309

80 miles

Turner Field, Braves Baseball

755 Hank Aaron Dr. SE, Atlanta 30312

76 miles

Georgia Dome

1 Georgia Dome Dr. NW, Atlanta 30310

80 miles

Other Georgia Sites







Savannah




180 miles

  • Tybee Island







Jekyll Island




250 miles

Valdosta




154 miles

  • Wild Adventures

3766 Old Clyattville Rd.

154 miles

Callaway Gardens

17800 US Hwy 27, Pine Mountain, 31822

85 miles

ROOM AND BOARD INFORMATION
Throughout the year, a communal meal is served in the dining hall at 1pm on Sunday and at 5:30pm on Monday, Tuesday, and Wednesday. The rest of the meals are served family style in our residences. This means that our volunteers will be participating in meal preparation for their teams in addition to the other projects they will be working on. As many of our groups value the opportunity to interact with our residents, we make every effort to coordinate food service so that the teams of volunteers can share a meal or two with the residents while they are here. Sometime, this takes the form of the volunteers preparing a special meal for the residents in their cottages, and other times it means ordering in a meal or taking the residents out for a special meal. From time to time, and as both schedules and weather permit, cooking out at one of the pavilions makes for a wonderful opportunity to feed and fellowship with our residents.
When your visit coincides with special events, which we have catered or ordered in, your group is included in our number unless you have indicated you have other plans for that evening.
What do you do now?


  1. Identify 1 or 2 members of your group to head up your meal coordination.

  2. Check with your team for any dietary needs or restriction they may have.

  3. Discuss with your team when and how you would like to interact with the residents.

  4. Create a suggested menu for your team’s meals.

  5. Communicate all of the information back to the Volunteer Coordinator who will arrange for items to be available on campus for your team’s meal preparations.

If your team is staying on campus in the Guest House Apartments or in the Elizabeth Home, we will stock the kitchen for you, unless you wish to do your own shopping.


Room & Board @ the Guest House Apartments (2 bedrooms with 1 queen and 2 twin beds)

      • Suggested donation is $25/person/day

On Campus RV Park: $10/night/site

Off Campus @ Sleep Inn: Hephzibah Guests Rate of $50/night/room + Taxes (includes complimentary continental breakfast)



EXIT CHECKLIST
If you reside on campus during your stay, please use these checklists to assist you during your pre-departure clean-up.
ELIZABETH HOME




Collect & empty trash from all rooms to the bins behind the dining room



Take or dispose of all leftover perishable foods



Strip the beds of used/dirty linens & leave them on the floor in a pile



Drape any damp/wet towels and wash clothes over the rails or tub and pile used, dry towels in the tub



Empty the dehumidifiers and leave them running with ceiling fans on



Lock all exterior doors and windows



Turn out all lights, unless otherwise indicated by in-house labels



Return keys to your Hephzibah Host, unless other arrangements have been made


GUEST HOUSE APARTMENTS


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