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Borderland Rainbow Center Volunteer Application
Thank you for your interest in the BRC! We have many needs and want your help! We are excited for you to be a part of our community. Please fill out the form below to let us know your availability and how you would like to help.
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Email
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Your email
Legal Last Name
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Your answer
Legal Middle Name
Your answer
Legal First Name
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Your answer
Preferred Name
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Your answer
Preferred Pronouns
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Your answer
Today's Date
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MM
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YYYY
Date of Birth
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MM
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YYYY
Cell Phone
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Your answer
Preferred Communication Method
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Text
Email
Phone Call
Required
Mailing Address
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone Number
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Your answer
Are you 18 years or older?
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Yes
No
Why do you want to volunteer at the Borderland Rainbow Center?
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Your answer
Have you received your COVID vaccine and follow up boosters and can you provide proof of vaccination?
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Yes, I have received all the vaccines and latest boosters.
Yes, but I have not gotten the latest booster.
No, I have not received any of the vaccines.
What is your Availability?
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What are your special skills and abilities?
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Your answer
What kind of volunteer experience do you have? Experience is not required.
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Your answer
I consent to have photographs and/or video taken of me for BRC media or publication use.
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Yes
No
I'd like to speak with someone about what this means
I am employed currently.
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Yes
No
Where do you currently work and what is your title?
Your answer
What is your educational background?
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Your answer
Have you ever been convicted of a criminal offense?
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Yes
No
Have you ever been charged with child neglect or abuse?
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Yes
No
Has your driver's license ever been suspended?
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Yes
No
Other than the above, is there any fact or circumstance involving your background that would call into question your being entrusted with supervision, guidance and working with young or elderly people?
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Yes
No
If you have completed a background check for another purpose in the past six months, please provide a copy if possible to
volunteer@borderlandrainbow.org
Your answer
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