VOLUNTEER FORM
BECKER COMMUNITY CENTER
Name
*
First Name
Last Name
Today's Date:
*
date
Age
*
under 12
13 -15
16 - 18
19 - 29
30 - 59
60+
If you are 18 or younger, please complete the following:
Name of Parent/Guardian that you currently live with
First name
Last Name
Parent/Guardian Phone Number
-
Area Code
Phone Number
Volunteer's Contact Information
Home Phone Number
*
-
Area Code
Phone Number
Cell Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
May we send a reminder text to your phone approximately a week before the event?
*
YES
NO
How would you prefer we contact you?
*
Cell Phone
Home Phone
E-Mail
Call Parent Phone
Have you Volunteered at the Becker Community Center in the past?
*
YES
NO
If YES, when did you volunteer
*
We will do our best to set you up in a volunteer position that you would prefer to do, although this is not always possible. Please order your preference of volunteer duties.
Are the volunteer hours you are inquiring about for a court ordered community service?
*
YES
NO
If you answered "YES" to above question, please explain the reason below
Thank you for your interest in volunteering at the BCC!
A staff member will be contacting you soon
Submit
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