The following information is required for background check

Please fill in the following information as completely as possible.  This will be used to evaluate your application.

select as many as apply

Give the name, address, and phone number of TWO non-family members who can provide references on your ability to perform this volunteer position.

Volunteering with NOA

We appreciate your interest in volunteering with NOA. Some of the information requested reflects our need to protect the safety, privacy, and health of our volunteers and clients. All volunteers are required to attend orientation and training that includes an overview of the basic dynamics of domestic violence.

NOA offers many opportunities that do not require working directly with clients.

If you choose to work directly with NOA clients, Georgia DHS standards for a family violence shelter program require documentation of:

1. Criminal Background Check with Fingerprints
2. First-Aid/CPR/HIV-AIDS Training Every 2 Years
3. Annual PPD (TB) Test
4. A Physical or Wellness Check in the Last 12 Months 

(Volunteers are responsible for any associated costs to meet the above criteria.)

Confidentiality Statement

Persons being served in any way by NOA have the right to control the nature of any disclosures of information about themselves.

Any communication to, or observation by, a NOA volunteer, staff member, student intern or visitor that is clearly not intended to be disclosed to a third party will be held confidential.

Information considered confidential includes:

• The fact the person has been served by NOA.
• Information transmitted in confidence by the person.
• Information transmitted in confidence about the person by family, neighbors and/or community service providers.
• Any disposition, referral, diagnosis, opinions, summaries, instructions, etc. issued for or about the person in the course of evaluation, treatment or other services.
• The names of any staff, volunteers or any other persons associated with NOA.

The person served by NOA has the right to inspect and request amendments to all recorded information about themselves.

Exceptions to the above policies are permitted only in bona fide medical emergencies where a medical consent form has been signed, in the case of a court order, of a subpoena, or in the case of suspected child abuse.

Georgia legal code (Section 19-13-23) states that any persons who knowingly publishes, disseminates or otherwise discloses the location of a family violence shelter is guilty of a misdemeanor.

By clicking Submit below, you are agreeing to the standards and conditions outlined above.