Individual Volunteer - Application

Volunteer Information
Name (First & Last)
Date of Application

MonthDayYear
Date
Home Address
Phone Number
Email Address
example@example.com
Date of Birth

MonthDayYear
Date
Driver's License (State & #)
Employer
Occupation
Gender

MaleFemalePrefer not to sayPrefer to Self Describe as ______ (enter in text box)
I self describe as:
Are you a Boys & Girls Club Alumni?

Yes (enter Club what club you attended in the text box)No
Name & Location of Boys & Girls Club Attended:

References

References will not be contacted until after your volunteer interview and Club tour.
Reference #1 Name
Relationship
Phone
Reference #2 Name
Relationship
Phone
Reference #3 Name
Relationship
Phone

Why Boys & Girls Clubs of MetroWest
We receive a number of volunteer applications and simply cannot accommodate all of them. Why do you want to volunteer for the Boys & Girls Clubs of MetroWest?

Authorization & Consent
I authorize the Boys & Girls Clubs of MetroWest to investigate all statements in this application and to secure any necessary information from employers and/or references. I understand that I am responsible for covering the costs associated with a national criminal background check that will be conducted prior to my being accepted as a volunteer and that I may not serve as a volunteer until I have been approved by the Director of Operations, Vice President, or President/CEO. I further understand that as an unpaid volunteer, I volunteer my time and resources without compensation.

I hereby acknowledge that I have read and understand the preceding statements.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Individual Volunteer Interest Form