SPCC Volunteer Application

Personal Information:

*In accordance with the City of Rochester Ordinance No. 2014-155, as of November 18, 2014 employers will no longer inquire as to an applicant’s prior criminal conviction until after an initial interview.

If offered a volunteer position, any prior criminal conviction, including a DWI, but not including a minor traffic violation, must be disclosed and discussed privately with SPCC’s CEO. If this should apply to you, it is your responsibility to contact Lisa Butt at lbutt@spcc-roch.org.


Please note that by checking the box below, you are authorizing the Society for the Protection and Care of Children (SPCC) to obtain references and/or pertinent information pertaining to you volunteering at the agency. Any information provided to SPCC will be held in strict confidence and used only to verify the statements that you have made. You are also releasing SPCC and its representatives from any liability in this regard.

Success! Your application has been submitted. If you have not done so already, please print off and fill out the state clearance form and return it to us via mail "Attention: Jessica". (SPCC; 148 South Fitzhugh Street; Rochester, NY 14608) We will contact you within a week of receiving both your application & state clearance form. Thanks for your interest and we look forward to connecting with you soon!