BECOME A CLUB VOLUNTEER!
GIVE SUPPORT. GIVE BACK. GIVE GUIDANCE
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Personal Information
Please note: Candidate must be 16 years or older to become a volunteer of the Boys and Girls Club of Saint Lucie County
Full Name
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First Name
Middle Name
Last Name
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
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example@example.com
Primary Phone Number
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-
Area Code
Phone Number
Why do you want to be a volunteer in our organization?
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Voluntary Self Identification
Gender
*
I choose not to self-identify at this time.
Male
Female
Are you 16 years old or older?
Yes
No
Veteran Status Pre-Offer
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I identify as one or more of the classifications of protected veterans
I am not a protected veteran
I do not wish to answer
Disability Status Pre-Offer
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Yes, I have a disability
No, I do not have a disability
I do not wish to answer
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Boys & Girls Clubs Background
Were you referred by someone or an organization?
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Yes
No
I was referred by
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Have you volunteered at the Boys & Girls Clubs of St. Lucie County before?
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Yes
No
Enter the date/s
blanks
.
Volunteer Experience
Who do you currently volunteer with and what do you help with? If not applicable, write N/A
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Who did you previously volunteer with and what did you help with? If not applicable, write N/A
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What have you enjoyed most about volunteering? If not applicable, write N/A
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Leadership Skills
Describe how children/other adults would view you as a role model.
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What kind of rewards motivates you to continue volunteering?
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How do you like to be recognized?
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Human Relations Skills
Describe a time when you've been involved in a conflict with another individual or group. How did you handle the situation?
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Organizational Skills
Describe a typical day for yourself
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Are you willing to attend orientation/training sessions to assist in your volunteer role?
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Yes
No
Communication Skills
How comfortable do you feel speaking in front of a group of people?
1
2
3
4
5
Not at all
Super Comfortable
1 is Not at all, 5 is Super Comfortable
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Background Screening Notification
All volunteer applicants who are qualified to volunteer with the Boys & Girls Clubs of St. Lucie County, must submit to and pass a Level 1 background screening. Any volunteer who will be volunteering 10 hours or more a month must submit to and pass a Level 2 background screening with the Florida Department of Children and Families (DCF).
Volunteer/Visitor Status Acknowledgement
I understand that, as a volunteer/visitor, I am in no way, shape or form an employee of Boys & Girls Clubs of St. Lucie County, I understand and agree that I will not receive any compensation or benefit for my participation in volunteer/visitor activities, nor will I be eligible for any coverage under the Workers’ Compensation laws of Florida.
Coronavirus / COVID-19 Warning & Disclaimer
Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Boys & Girls Clubs of St. Lucie County programs or accessing Boys & Girls Clubs of St. Lucie County facilities could increase the risk of contracting COVID-19. Boys & Girls Clubs of St. Lucie County in no way warrants that COVID-19 infection will not occur through participation in Boys & Girls Clubs of St. Lucie County programs of accessing Boys & Girls Clubs of St. Lucie County facilities.
Waiver, Release, Indemnification & Covenant Not to Sue
In consideration of my participation as a volunteer/visitor with Boys & Girls Clubs of St. Lucie County, I, __________________________, the undersigned participant, agree to release and on behalf of myself, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE Boys & Girls Clubs of St. Lucie County, its officers, directors, employees, volunteers, agents, representatives and insurers (“Releasees”) from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against Boys & Girls Clubs of St. Lucie County on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to the use of Boys & Girls Clubs of St. Lucie County facilities/equipment or participation in Boys & Girls Clubs of St. Lucie County’s programs whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees.In consideration of my participation in volunteer/visitor activities, I, the undersigned participant, agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to my participation in volunteer/visitor activities.I hereby certify that I have full knowledge of the nature and extent of the risks inherent in participation in volunteer/visitor activities and that I am voluntarily assuming said risks. I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, or death, I sustain while participating in volunteer/visitor activities and that by signing this agreement I HEREBY RELEASE Releasees of all liability for such loss, damage, or death. I further certify that I am in good health and that I have no conditions or impairments which would preclude my safe participation in volunteer/visitor activities.
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Availability
Choose desired location
Allapattah Flats
Bayshore
Floresta
Forest Grove
Lakewood Park Elementary
Manatee Academy
Mariposa
Morningside
Northport
Oak Hammock
Palm Pointe
Rivers Edge
St. Lucie West K-8
West Gate
Windmill Point
Administration
A+ Attendance Office
Westside Church
Garden Terrace Club
Infinity Club
Percy Peek Teen Center
Chuck Hill Club
Ken Pruitt Club
Choose desired volunteer activity
Before and/or After School
Arts & Crafts
Business Partner
Chaperone
Clubhouse/Office Assistant
Mentor/Tutor
Speaker of other Languages
Special Activities
Select the days of the week that you are available.
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Monday
Tuesday
Wednesday
Thursday
Friday
Weekends (will vary for club events)
Please select one of the following.
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I do not have a specific time that I can volunteer. I am flexible.
I have specific times that I can volunteer.
I can only volunteer during these times:
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.
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Volunteer Application Acknowledgement
Please read the following carefully before you sign.
Today's Date
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Month
-
Day
Year
Date
I, hereby acknowledge that I am seeking to volunteer for The Boys & Girls Clubs of St. Lucie County (BGCSLC). I understand that this is an uncompensated, entirely voluntary relationship initiated by my own interest to provide free service to BGCSLC to further the mission of the organization. I agree to adhere to the standards established by BGCSLC.I voluntarily choose of my own accord, and under no compulsion from BGCSLC, to perform volunteer activities without expectation of compensation for services or time rendered. I also realize that any failure to abide within the parameters of my volunteer duties, or the guidelines established by BGCSLC, may result in prohibition from returning to volunteer. Since this is a voluntary position, either I or BGCSLC, may discontinue this volunteer relationship at any time, for any reason, or for no reason at all as either party sees fit or deems necessary.
By entering my First and Last name below, I accept the conditions; waivers, notifications, and such as explained in this volunteer application.
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Please note that additional signatures will be required from the parent/guardian of any volunteer applicant that is under the age of 18.
Thank you applying for an opportunity to volunteer with Boys & Girls Clubs of St. Lucie County! We will be reviewing applications and selecting applicants who we feel would best meet the requirements of a volunteer. If you are selected, you will be contacted directly by a Human Resources Representative. Thank you again for applying.
By entering my name, I understand that I must be 16 years of age or older to to be a volunteer of the Boys and Girls Club of Saint Lucie County
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Signature
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