Boys & Girls Clubs of Greater Flint

Volunteer Application

 

Volunteer Application

 
 
Applicant Information
Phone *
Phone
Address *
Address
Education
Relevant Volunteer/Work Experience
Date Started *
Date Started
Date Left *
Date Left
Volunteer Areas
Age Groups *
Areas *
Availability
Available Starting *
Available Starting
Available Until *
Available Until
Monday Start Time
Monday Start Time
Monday End Time
Monday End Time
Tuesday Start Time
Tuesday Start Time
Tuesday End Time
Tuesday End Time
Wednesday Start Time
Wednesday Start Time
Wednesday End Time
Wednesday End Time
Thursday Start Time
Thursday Start Time
Thursday End Time
Thursday End Time
Friday Start Time
Friday Start Time
Friday End Time
Friday End Time
Volunteer Expectations
Volunteering should have mutual benefits. Everyone should reap positive benefits from this experience. The next few questions will allow for a better understanding of your intentions and needs.
Emergency Information
Emergency Contact Name #1 *
Emergency Contact Name #1
Emergency Contact #1 Phone Number *
Emergency Contact #1 Phone Number
Emergency Contact Name #2 *
Emergency Contact Name #2
Emergency Contact #2 Phone Number *
Emergency Contact #2 Phone Number
Emergency Situation *
In the event of illness or injury when the above listed persons or physician(s) cannot be contacted, I hereby authorize the Boys & Girls Clubs of Greater Flint to initiate any emergency medical services considered to be in the best interest of my health.
Today's Date *
Today's Date
Applicant Information Release
I hereby authorize the Boys & Girls Clubs of Greater Flint and/or any of their authorized agents to gather information regarding the following: 1. All records including criminal, credit, driving (where required by position) and/or education; 2. Information from previous employers. whether contained in written records or not; 3. Any other pertinent information relating to the successful function of my job. I hereby release the Boys & Girls Clubs of Greater Flint and its employees, former employees, other referenced and/or any of its authorized agents from any liability, and understand there is no invasion of personal privacy. I understand background profile verification will be conducted in order to ensure the business standards and practices of the Boys & Girls Clubs of Greater Flint, that its contents will be kept confidential. If I am employed or able to volunteer with the Boys & Girls Clubs of Greater Flint, I authorize the reinvestigation of any of the above information at any time, during my term of employment/volunteerism. I understand that any offer of employment/volunteering is contingent on a satisfactory background investigation. I certify the following is my true and complete legal name and all information contained herein is true and correct to the best of my knowledge.
Date of Birth *
Date of Birth
Volunteer Signature *
Today's Date *
Today's Date