Breckenridge Village Volunteer Application

Breckenridge Village Volunteer Application

Thank you for your desire to serve at Breckenridge Village! We are a Christ-centered non-profit organization that exists to support and empower adults with intellectual and developmental disabilities.
Personal Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your t-shirt size?
Acknowledgement*

I understand that by filling out this form I give consent for photo and video permission to Breckenridge Village of Tyler.
Date of Birth*

MonthDayYear
Social Security Number*
This will be used for the background check.
Tell us a little bit about why you would like to volunteer, and if you are part of a group:*
Are you part of the Breckenridge Village Family Engagement Council?*

YesNo
How would you like to volunteer?*

I would like to volunteer for special events (example: Tree Lot, Triathlon, Trunk or Treat)I would like to volunteer with Day Program (runs Monday-Friday from 9am-4pm)I would like to volunteer on the evenings or weekendsI would like to bring a group out to volunteerI am open to volunteering however is most neededI would like to lead a faith-based activity (ex. lead a small group, teach at chapel, etc.)
Emergency Contact
Name of Emergency Contact*

First NameLast Name
Phone Number of Emergency Contact*
Please enter a valid phone number.
Relationship to you*
Volunteer Policies
Volunteers must always abide by the following policies. Failure to comply will result in immediate dismissal from Breckenridge Village property and volunteer program.

1. Volunteers are not permitted to take photos, videos, or audio recordings on campus at all, or off campus if Breckenridge Village individuals are present. If your group would like a photo, please contact a BVT staff member to request this and we would be happy to help accommodate.

2. Volunteers must stay in the area designated by staff.

3. Volunteers must always wear volunteer lanyard.

4. Foul or demeaning language, alcohol, drugs, and weapons are strongly prohibited.
I agree to abide by these policies if accepted as a volunteer for Breckenridge Village by signing below, and understand that my submission of this application does not guarantee a volunteer position.*

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Breckenridge Village Volunteer Application

Personal Information

Emergency Contact

Volunteer Policies