Texas Chargers Volunteer Application

Texas Chargers Volunteer Application
When completeting this form, please be as detailed as possible so we can best place you based on your interest, abilites and previous experience.

Lunch and a T-shirt will be provided. Wear shorts and tennis shoes (or similar clothing) and come prepared to have fun!
Contact Information
Name

First NameMiddle NameLast Name
University/School
Group/Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Drivers License Number*
Date of Birth *
Email
example@example.com

Background
Have you ever been arrested or charged with any crime of moral turpitude or any Class B Misdemeanor or greater? If so, please explain.

Availability

Orientation session will begin at 8am Saturday. Friday volunteers arrive at 3pm.
During which hours are you available for volunteer assignments?

Friday EveningSaturday MorningSaturday AfternoonSaturday All DaySaturday EveningSunday

Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Please note foreign languages abilities, including sign you know. Please let us know if you have any medical training or experience as well.
Previous Volunteer Experience
Summarize your previous volunteer experience. If you volunteered for us in the past with a certain family and would like to do so again, or if you would like a new position, please indicate this as well.
Other Information
Include any other information that you think we should know about you, so that we can best place you with the appropriate activity/child.

References
Reference One

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Years Known
Reference Two

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Years Known
Reference Three

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Years Known

Person to Notify in Case of Emergency
Name

First NameLast Name
Relationship
Primary Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Background Check Authorization and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, ommissions, or other misreperesentations made by me on this application may result in my immediate dismissal.

It is the policy of this orginization to provide equal opportunity without reguard to race, color religion, national orgin, gender, sexual preference, age, or disability.

I hereby authorize Texas Chargers, Inc. or it's authorized representative(s) bearing this release, to obtain and release any information pertaining to my criminal/residential/employement backgroud, for the purpose of investigating the appropriateness of my voluntary services with Texas Chargers, Inc. I hereby release, indemnify, discharge Texas Chargers, Inc. and any third party providing information in response to this authorization from any and all claims, liablilities, and/or damages arising out of/or related in any way to the acquisition or release of information pursuant to this authorization.

If I submit this application in a manner that does not allow my signature to be captured, I agree that submitting this application consititutes permission to perform the background checks required of all volunteers and will provide a signature on or before the event.
Type a question

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