Volunteer Application Form

Volunteer Application

Boys & Girls Club of Cooke County
Our organization views protecting children and youth as an integral part of our mission. We have a zero-tolerance policy for child abuse and mistreatment of any kind in our organization and consistently employ many policies and practices to ensure the safety of children in our care.
Personal Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?
Social Security Number:*
Shirt Size: *
Have you previously volunteered at this Boys & Girls Club OR another Boys & Girls Club?*

YesNo
If yes, provide organization name and supervisor contact information
Have you previously be convicted of a criminal offense?*

YesNo
If yes, please explain:
Volunteer Interest
Please select all areas of interest

MentorAdulting 101Club BeautificationSTEM ActivitiesHomeworkMusic ActivitiesSewing & CrochetArts & CraftsGardening ActivitiesSports ClubsOther
Volunteer desired time frame:

After School & SummerSummer OnlyAfter School Only
Days Available:

MondayTuesdayWednesdayThursdayFriday
Hours available:*
Volunteer Experience

Begin with current or most recent experience
Experience - One
Organization Name:
Volunteer Dates:
Supervisors Name:
Supervisors Email:
Supervisors Phone:
May we contact the organization?

YesNo
Brief Description of Duties:
Experience - Two
Organization Name:
Volunteer Dates:
Supervisors Name:
Supervisors Email:
Supervisors Phone:
May we contact the organization?

YesNo
Brief Description of Duties:
References

MUST include ONE family member
Reference*
Reference*
Reference*
Authorizations

I hereby authorize the Boys & Girls Club of Cooke County to investigate my background and qualifications for the purpose of evaluating whether I am qualified for the position for which I am applying to volunteer. I understand that the Boys & Girls Club of Cooke County will utilize an outside firm to assist in check such information, and I specifically authorize such an investigation by information services and outside entities of the Organization’s choice now and annually during the tenure of my employment of service with the Boys & Girls Club of Cooke County. I recognized that the Organization would consider the results of my background check in selecting me for volunteer opportunities. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for volunteering will not be processed further.

I authorize Boys & Girls Club of Cooke County and VeriScreen to obtain and prepare an investigative consumer report, as part of its investigation of my volunteer application. This authorization shall remain in effect over the course of my volunteer time.
I hereby acknowledge that I have read and understood the above statements. Please sign your name below: *

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