Volunteering | Boys & Girls Clubs of Washington County

Background check and club introductions required before volunteering.

First Name*

Last Name*

Email Address*

City*

State*

Zip*

Home Phone #

Cell Phone #*

Gender*

Age*

Ethnicity*

Where Did You Learn About Our Volunteer Opportunities?

Are you seeking to volunteer to satisfy an obligation for school or an organization?*

Yes

Are you seeking to volunteer to satisfy COURT-ORDERED community service?*

Yes

Emergency Contact Information

First Name*

Last Name*

Relationship*

Phone #*

Skills & Experience

Highest Level of Education Completed:*

What is your educational background?*

What sorts of hobbies, interests, and activities do you enjoy?*

List any volunteer experiences*

References

This section will help determine the best days and times for your volunteer activity. Please check all the days and times you will be available to volunteer.

Reference 1 First and Last Name*

Reference 1 Phone #*

Reference 2 First and Last Name*

Reference 2 Phone #*

Business Address*

Employer 1 Contact Name*

Current Employer 1*

Business Phone #*

Availability

This section will help determine the best days and times for your volunteer activity. Please check all the days and times you will be available to volunteer.

Summer 9:00am-5:00pm

Monday

Tuesday

Wednesday

Thursday

Friday

School Year 3:00PM-6:00PM

Monday

Tuesday

Wednesday

Thursday

Friday

How many days per month are you willing to commit?*

How many months are you willing to commit?*

1 day to 1 month

1 month to 3 months

3 months to 6 months

6 months to 9 months

9 months or more

List any physical limitations or treatment which might limit your ability to perform certain types of work:

I certify that all the answers on the application and any attachments are true and complete to the best of my knowledge. I also certify that I have not withheld any pertinent information.

I agree that in the course of considering my application, you may inquire to verify information considering my background. I specifically authorize you to investigate all statements in this application. I authorize educational institutions, employers, and references listed above to give you any and all information concerning my education, employment, and abilities to work with children and young people. I further agree to release and hold harmless the Boys & Girls Club of Washington County, institutions and references listed above, and law enforcement agencies from all liability and any damage that may result from furnishing this information to the Boys & Girls Club of Washington County.

Signature*

Date*

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