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Required fields are marked with an asterisk (*).
Today's Date *A valid date as MM/DD/YYYY (for example: 11/30/2015)
Are you over the age of 18? *Yes No
Do you have a high school diploma? *Yes No
Can you pass a criminal background check & drug screen test? *Yes No
Are you willing to attend a volunteer orientation? *Yes No
Are you willing to take an online training? *Yes No
How did you hear about us? *
First Name *
Last Name *
Primary Phone Number *
Cell Phone Number
Address *
City *
State/Province/Region *
ZIP/Postal Code *
Are you in Florida: *Seasonal Year Round
If Seasonal, when are you in FL?
Name/Relationship *
Phone Number *
Contact Address *
Are you currently: *Employed Unemployed Retired Student
Company *
Location (City, State) *
Job Title *
Describe Work *
Company Phone Number *
From *
To *
Have you ever volunteered or worked for BGCMC? *Yes No
If Yes, Where? Position?
Do you have a relative employed by BGCMC? *Yes No
If Yes, Who?
Highest Level of Education Completed *Some secondary education (high school) Completed secondary education (graduated high school) Trade/technical/vocational training Some undergraduate education (college or university) Completed undergraduate education Some postgraduate education Completed postgraduate education (masters or doctorate)
School/University/College & Location *
Degree/Certification Earned *
Other
Military Service *No Active Veteran
Service Branch:
What days of the week are you available? (select all that apply) *
Most Interested Location (select all that apply) *
Volunteer Activity
Are you interested in working with students of...
For in-Club volunteers, please select your interests: (select all that apply)
For Administrative/Leadership volunteers, please select your interests: (select all that apply)*
Please add any other interests or specific programs or events:
Do you speak any languages other than English? *Yes No
If Yes, Please List Langauges:
Have you ever been convicted of a crime, other than minor traffic violations but including DUI? *Yes No
If Yes, When & Please Explain:
Please add me to your mailing lists:Yes No
Ethnicity: *African American Asian/Pacific Islander Caucasian Hispanic/Latino Multi-Racial Native American Other
Terms & Conditions
I certify that all information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that misrepresentations or omissions of facts called for are cause for refusal to allow for volunteering and for dismissal at any time without any previous notice. I understand that this application will remain active for a 90 day period. After that time, if I desire further consideration, I will complete a new application. All information that comes to our attention and knowledge is confidential and privileged and will not be shared to anyone other than authorized personnel. Volunteering is conditional upon, among other things, an applicant submitting proof of identification in accordance with the Immigration Reform and Control Act, receiving a negative drug test result and passing a criminal background check. In connection with my application for volunteering. I authorize the Boys & Girls Clubs of Manatee County, and its respective agents to solicit information about my background, including but not limited to, information as to my employment, education, driving record, criminal record and / or public records history. I authorize all persons who may have information relevant to this investigation to disclose said information. I release from liability all persons, companies, government or other agencies and corporations disclosing such information. I hereby further authorize that a photocopy of this authorization may be considered as an original. I authorize, without reservation, any person, agency or other entity contacted by the Boys & Girls Clubs of Manatee County to furnish the above mentioned information.
Check here to show you accept the terms stated above. Enter your name here to serve as a digital signature:
I certify that all information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that misrepresentations or omissions of facts called for are cause for refusal to allow for volunteering and for dismissal at any time without any previous notice. I understand that this application will remain active for a 90 day period. After that time, if I desire further consideration, I will complete a new application. All information that comes to our attention and knowledge is confidential and privileged and will not be shared to anyone other than authorized personnel. Volunteering is conditional upon, among other things, an applicant submitting proof of identification in accordance with the Immigration Reform and Control Act, receiving a negative drug test result and passing a criminal background check. In connection with my application for volunteering. I authorize the Boys & Girls Clubs of Manatee County, and its respective agents to solicit information about my background, including but not limited to, information as to my employment, education, driving record, criminal record and / or public records history. I authorize all persons who may have information relevant to this investigation to disclose said information. I release from liability all persons, companies, government or other agencies and corporations disclosing such information. I hereby further authorize that a photocopy of this authorization may be considered as an original. I authorize, without reservation, any person, agency or other entity contacted by the Boys & Girls Clubs of Manatee County to furnish the above mentioned information.
Check here to show you accept the terms stated above.
