Volunteer Registration Form

Volunteer Registration Form
Personal Information
Name*

First NameLast Name
Other Name
Alias or a.k.a.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*

Area CodePhone Number
Alternate Number

Area CodePhone Number
Email*
example@example.com
Volunteer's Information
Why do you want to mentor?*
What experience do you have mentoring or related to youth development?*
What is your current career/job?*
I am willing to share my information with The Big Homie Program.*

YesNo
I am willing to undergo background check.*

YesNo
Declaration
PERSONAL DATA

The provision of personal data (“Data”) in this application form is voluntary and will be used for mentor-mentee matching in the mentorship program. If you fail to supply the Data requested herein, we may be unable to process your application. The Data may also be used for any of the following purposes:
- providing mentorship program services;
- performing administrative matters, data matching, communication, and liaison concerning the mentorship program, The Big Homie Program, and their respective associates or affiliates;
- promoting mentorship programs and events;
- any other legitimate purposes as may be required, authorized, or permitted by law
The Data may be used, stored, disclosed, and transferred by the mentorship program to The Big Homie Program and its associates and affiliates, any government department or regulatory body if required by law, and any individuals/organizations associated with the mentorship program including its agents and contractors (whether within or outside WA) for the purposes specified above.

If you would like to request access to and /or correction of the Data retained by us, please e-mail info@thebighomieprogram.org. Any requests for access to and correction of information will be dealt with as promptly as possible.

PRIVACY POLICY
I have read the above information.I have read and understand the Privacy Policy of Big Homie Ministries International.By checking the box, you expressly consent that we may contact you for any purpose in any manner at any contact number (landline or mobile) or physical or email address you ever provide or have provided to us.
Signature*

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Volunteer Registration Form

Personal Information

Volunteer's Information

Declaration