Volunteer Application

Why volunteer for the Boys & Girls Clubs?

The Boys & Girls Clubs of Barron County (BGCBC) is a great place to volunteer because our volunteers help our staff to provide young people ages 5 to 18 with:

  • A safe place to learn and grow

  • Ongoing relationships with caring, adult professionals

  • Life-enhancing programs and character development experiences

  • Hope and opportunity 


What are we looking for?

The Boys & Girls Clubs of Barron County is looking for adult volunteers to help us enable our Club members to achieve our priority outcomes, which are academic success, good character & citizenship, and healthy lifestyles.

Each of our sites has a need for volunteers interested in academics.  Each Club devotes between 30-40 minutes each day to homework help and enrichment activities such as reading, practicing multiplication skills, conducting science experiments, etc.  Volunteers would be asked to assist students with individual homework needs or to assist our staff in leading an enrichment activity.

We are looking for volunteers interested in role-modeling good character and citizenship skills to our youth.  Perhaps you would be interested in going with a group of students to volunteer at the Humane Society or Benjamin’s House?  Or maybe you would enjoy working with our staff to create a leadership or character development activity?

Do you love to cook healthy meals or enjoy spending time fishing, playing basketball or running?  Our Club members would love to have you volunteer to teach them activities which will help them to lead a healthy lifestyle.  For example, we have had groups of volunteers who have come into the Club to teach students how to read recipes and cook things ranging from sweet potatoes to healthy snacks!  

Our Club members love opportunities to be creative as well!  We are looking for individuals who would be interested in teaching our youth to knit, crochet, paint, make jewelry, etc. We are always looking for new and interesting opportunities for our youth!  Please share with us your ideas for things that you are interested in sharing.

There is a need for those interested in assisting with clerical tasks such as filing, assisting with mail-outs, etc.  We are also looking to create a list of those who are able to help with small repairs and maintenance needs at our Lincoln Clubhouse in Rice Lake.


Need more information? Contact, Travis, Chief Operating Officer at operations@bgcbarroncounty.org or by telephone at 715-736-7445.


Sign in to Google to save your progress. Learn more
Email *
PERSONAL INFORMATION
First Name and M.I. *
Last Name *
Current Address *
Address, City, State, ZIP
Phone Number
 *
Social Security *Needed for a required Background Check *
Birthdate *Needed for Background Check *
MM/DD/YYYY
Are you a US Citizen? *
If not, what type of VISA do you have?
Do you have any health issues, physical limitations, or injuries which may inhibit your volunteering at the BGCBC? *
If yes, explain.
How were you referred to the Boys & Girls Clubs of Barron County? *
Emergency Contact Name & Relationship *
Emergency Contact Primary Phone Number *
Emergency Contact Secondary Phone Number
EDUCATION & TRAINING
Highest school completed
*Please list name & location
 *
Degree & date of graduation *
Are you currently enrolled in a higher education program?
*Please list name & location
 *
Additional training applicable to your desired volunteer work
Current Certifications *
Required
Other activities, sport, and organizations in which you have been involved: *
EMPLOYMENT HISTORY
Employer *
Supervisor Information
*Please include name, phone number, and email address
 *
Employment Address
*Address, City, State, ZIP
 *
Position Title *
Description of Responsibilities & Duties *
Dates of Employment *
Reason for Leaving *
Additional Employment:
Employer
 *
Supervisor Information
*Please include name, phone number, and email address
 *
Employment Address
*Address, City, State, ZIP
 *
Position Title *
Description of Responsibilities & Duties *
Dates of Employment *
Reason for Leaving *
Have you volunteered for or worked with the Boys & Girls Clubs of Barron County in the past?
*If yes, please include dates & position
 *
Have you had any previous experiences working for or volunteering with a youth organization?
*If yes, please include dates & position
 *
VOLUNTEER INFORMATION
Date available to begin volunteering *
MM
/
DD
/
YYYY
Which community would you like to volunteer in? *
Required
Which age group(s) would you most enjoy working with?
*K-4 is not offered in Barron or Cumberland
 *
Required
What activities are you interested in participating in? *
Required
If interested in weekly volunteering, what days/times would you be most interested in volunteering?
*School year Club hours are Mon-Fri 3:00 pm - 6:00 pm
*Summer Club hours are Mon-Fri 7:30 am- 6:00 pm
 *
Morning (8:00am-12noon)
Early Afternoon (12:00noon-3:00pm)
Later Afternoon (3:00pm-6:00pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Please list at least 2 personal references and at least 1 professional reference with phone and email address. *
Do you have any affiliation with any youth serving organizations?
 *

Do you have previous employment or volunteer experience with the Boys and Girls Clubs?


 *
If yes, please list the names of the Boys & Girls Clubs and the names of your supervisor:
 *
Background Check Policy and Criminal Record

The Boys & Girls Clubs of Barron County (BGCBC) is committed to selecting and retaining the best staff and volunteers to serve its youth.  As part of the initial selection process and on an on-going basis, BGCBC will conduct background checks in accordance with the following policy:

BGCBC will conduct criminal background checks of all employees and volunteers, including minors, who have direct, repetitive contact with children.  Name-based or fingerprint based record searches may be used in any combination but shall, at a minimum, (a) verify the person’s identity and legal aliases, (b) provide a national Sex Offender Registry search, and (c) provide a national criminal record search.  Such checks shall be conducted prior to employment and at regular intervals not to exceed twelve months.  All background check findings shall be considered when making employment or volunteer decisions.  It is the policy of the BGCBC that an employee or volunteer will be automatically ineligible for employment or volunteer service, if such individual:

  1. Refuses to consent to a criminal background check,

  2. Makes a false statement in connection with such criminal background check,

  3. Is registered, or is required to be registered on State or National sex offender registry,

  4. Has been convicted of a felony

  5. Has been convicted of a sex-related misdemeanor

  6. Has been convicted of a violence-related misdemeanor

  7. Has been convicted of a misdemeanor related to cruelty to animals

  8. Has been convicted of a drug-related offense committed within the last five years.

Have you ever been convicted of, plead guilty to, or pled no contest to a crime (felony or misdemeanor)? *
Required
If yes, please explain and include the state, date, court, type of crime, place of occurrence, and disposition.
Authorization to Release Employment Reference Information
I understand that Boys & Girls Clubs of Barron County will attempt to verify statements made on my application and made during my interview.  I hereby give my permission for my former employers to answer any and all questions based upon information available to them in my prior employment records.  I understand that it is possible that my prior employment records may not be accurate.  Nonetheless, in consideration of Boys & Girls Clubs of Barron County’s review of this application and my candidacy for employment, I release BGCBC and all former employers from any liability as a result of the furnishing and receiving of this reference information.  I understand that my failure to sign this reference release so BGCBC can contact references and make a full background check of my previous volunteer history will be deemed interference with and a withdrawal of my application for volunteer service.
Please click to document your consent. *
Volunteer Release Statement 

I, the undersigned, hereby state that if accepted as a volunteer, I agree to abide by the rules and regulations of the Volunteer Program at the Boys & Girls Club (hereafter known as the "Club"). 


I have not been convicted, within the past ten years, of any felony or misdemeanor classified as an offense against a person or family, of public indecency, or a violation involving a state of federally controlled substance. I am not under current indictment. Further, I hereby fully release, discharge and hold harmless the Club, participating organizations and all of their employees, officers, directors, and coordinators from any and all liability, claims, causes of action, costs and expenses which may be or may at any time hereafter become attributable to my participation in the Volunteer Program. 


I understand that the Club staff reserves the right to terminate a Volunteer from the program. The program takes place only at the Club and does not encourage or approve of relationships established between Club Members beyond the organized and supervised activities of the program. I give permission for program staff to conduct a criminal background check as part of the screening for entrance into the program. This includes verification of personal and employment references as well as a criminal check with the authorities. Program staff has the final right of acceptance of applicants into the program and reserves the right to terminate a volunteer from the program at any time. I have read this Release Statement and agree to the contents. 


Signature
Authorization & Understanding
By affixing your signature to this application, you are stating all information contained within is accurate, truthful and complete.  I understand that falsification of this application will be grounds for elimination from further consideration, or if chosen for the volunteer program, for dismissal at any time. 
Signature *
Date  *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boys and Girls Clubs of Barron County. Report Abuse
Google Forms