Volunteer Application
Name
*
First Name
Last Name
Email
*
example@example.com
Legal Address (not college address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Male
Female
Not Listed
Prefer not to answer
Social Security Number
*
*Utilized to run background check which is required for employment
Have you been convicted of a crime (misdemeanor or felony)
*
Yes
No
Have you ever been substantiated for child abuse/neglect?
*
Yes
No
Do you consent to a background check prior to volunteering?
*
Yes
No
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Have you previously volunteered at a Boys & Girls Club? If yes, please list the name of the Club.
Character Reference (Name, Phone, Email Address, Length of Time Known)
*
I understand that the Boys & Girls Clubs of Johnson County is not able to provide workmen's compensation because I am not a paid employee of the Club.
*
Yes
No
Submit
Should be Empty: