Volunteer Application

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The Boys & Girls Club is part of a nationwide and local effort to help assure the protection of children from abuse and exploitation. In order to safeguard the well-being of the youth served, the Boys & Girls Club investigates the accuracy of data provided in the application process for all applicants before individuals will be considered for volunteer opportunities. This investigation may include, but is not limited to, reference checking with past employers, schools, appropriate volunteer agencies, police and other government agencies.

The Boys & Girls Club of the Tri-County Area is an equal opportunity employer. The Club is committed to the spirit and letter of all federal, state, and local laws and regulations pertaining to equal opportunity. To this end, the Club does not discriminate against any individual with regard to race, color, religion, sex, age, national origin, disability,, veteran status of other protected status. This policy extends to all terms, conditions, and privileges of employment as well as the use of all Club facilities. Not form of unlawful discriminations, including unlawful harassment, will be condoned.

Email *

Check all that apply: *

Special Events/ Projects

Out-of-School Time work with kids

Internship/Work Study

Tutoring/ Homework Help

Become a Mentor

Other:

Required

First Name *

Last Name *

Telephone *

Home Address (City, State, Zip) *

Are you at least 18 years old? *

Yes

No (you may be required to provide authorization to work)

Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility.) *

Yes

Have you ever volunteered/worked for this organization or another Boys & Girls Club, before? *

Yes

If yes, where? When? Job Title? *

Do you know anyone that works for our organization? *

Yes

If yes, who?

Did you attend High School? If so, where? *

Did you attend College/Technical School? If so, where? *

Have you ever been convicted of a felony? *

Yes

If yes, describe in full. *

Where have you worked/volunteered? Please name the company/organization. *

What were your duties/responsibilities? *

Reference 1: First & Last Name (not related to you) *

Reference 1: Phone Number *

Reference 1: Email Address *

Reference 2: First & Last Name (not related to you)

Reference 2: Phone Number

Reference 2: Email Address

Reference 3: First & Last Name (not related to you)

Reference 3: Phone Number

Reference 3: Email Address

What are your skills, hobbies, & interests? *

Questions/Comments? *

I understand that if I am a volunteer for the Boys & Girls Club of the Tri-County Area, I must obtain a Background Check Screening. Therefore, I authorize local, state, and federal agencies to provide this information concerning the matters described herein for review by the Boys & Girls Club of the Tri-County Area. I understand that I must provide Veriscreen, (BGCTRIC Background Check Company) with my legal name and date of birth so they may process a background check in accordance with the requirements set forth by Boys & Girls Clubs of America. I also understand that I may not volunteer with the Club until a copy of the background check has been obtained by the Club. I EXPRESSLY WAIVE IN CONNECTION WITH ANY REQUEST FOR, OR PROVISION OF SUCH INFORMATION, ANY CLAIMS, CAUSES OR ACTIONS, INCLUDING WITHOUT LIMITATION, DEFAMATION, INFLICTION OF EMOTIONAL DISTRESS, INVASION OF PRIVACY, OR INTERFERENCE WITH CONTRACTUAL RELATIONS THAT I MIGHT OTHERWISE HAVE AGAINST THE BOYS & GIRLS CLUB OF THE TRI-COUNTY AREA, IT’S OFFICIALS, EMPLOYEES, OR AGAINST ANY PROVIDER OF SUCH INFORMATION. I have read this authorization and release of all claims, and I expressly agree to the terms set out herein. *

In case of emergency, please state the first and last name of who to contact? *

Phone number for emergency contact *

Relationship to you *

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