Volunteer Application

Our volunteers change lives every day. Won't you join us?

I. Volunteer Information

II. Background

III. Times Available to Volunteer

IV. References

V. Emergency Contact

Vi. Questions of Record

SLI Applicant Authorization to Release Information

(To be used regarding applicants for pre-employment references and volunteer screening)

I authorize SLI to contact any company, institution, law enforcement agency, state agency, bureau or individual it deems appropriate to investigate my employment history, job performance, background, qualifications, driving record, and other relevant information, if job related. I give my full consent for all contacted persons including former employers to provide the information concerning this application. I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to the Company.

SLI currently verifies information with:

  • Kansas Bureau of Investigation
  • KDADS Nurse Aide Registry
  • Adult and Child Abuse and Neglect - Department for Children and Families
  • Motor Vehicle Report
  • Topeka Municipal Court
  • KDADS Health Occupations Credentialing
  • Office of Inspector General
  • Shawnee County Court Records
  • KDOC Kansas Adult Supervised Population Electronic Repository
  • Other local, state and national databases and public information systems