Individual Volunteer Application

Click on each form name to open the link.  Forms can be printed and completed by hand, or completed online, then printed.  Information typed into the form cannot be saved.  Original signatures are required on all forms.

Forms Required from All Individual Volunteers
Individual Volunteer Application
Personal Release (photo consent)
Confidentiality Agreement
Universal Precautions
HIPAA Policy & Procedures Acknowledgement Statement
•Negative TB test results (if working with program participants in a
non-public location; contact us for details)

Forms Required from Individual Volunteers Age 17 and Over
Pinkerton Background Check
•Fingerprints (adults working in children's programs only; contact us for details)

Please return all completed forms and other documents (if needed) to:
Communications & Outreach Department
The Arc Montgomery County
11600 Nebel Street
Rockville, MD 20852

Orientation
A one-hour orientation is required of all individual volunteers who will be working directly with our program participants.  Click here for more information.

For additional information or to ask questions, contact Juel Offer, Volunteer & Development Assistant, 301.984.5777 x1271 *.