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11/21/2017

BOYS & GIRLS CLUBS OF MORGAN & LAWRENCE COUNTIES

VOLUNTEER ENROLLMENT FORM

 

1

EQUAL OPPORTUNITY

Boys & Girls Clubs of Morgan & Lawrence Counties is an Equal Opportunity Employer. The established policy of BGCML is to affirm and dedicate itself to the primary principle of nondiscrimination in all phases of its activities. BGCML pledges itself to the following policy to all applicants of volunteer opportunities: BGCML will not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, age, veteran status, marital status, disability unrelated to ability to perform the task, or any other reason prohibited by the federal, state or local law. In addition, BGCML will not tolerate sexual, racial or any other harassment prohibited by law.

 

Please return to:

Boys & Girls Clubs of Morgan & Lawrence Counties

P. O. Box 1431

Decatur, Al 35602-1431

256-340-3464

or via fax at 256-355-2940

or via email at bandgsports@charter.net

 

_______________________________________________________________________

LAST NAME                                               FIRST                            MIDDLE

______________________________________________

SOCIAL SECURITY NUMBER (used for background check purposes only)

 

_______________________________________________________________________

SIGNATURE                                                                                              DATE

MAILING ADDRESS: _____________________________________________________

_______________________________________________________________________

PHONE: _____________________________________________________

MOBILE: _____________________________________________________

EMAIL: _____________________________________________________

If you have lived outside of the state of Alabama, please list all previous states where you resided:________________________________________________________________

_______________________________________________________________________

(PLEASE ENCLOSE A RESUME IF AVAILABLE)

HOW DID YOU HEAR ABOUT BOYS & GIRLS CLUBS OF Morgan & Lawrence Counties?

_____________________________________________________________________________

2

EMPLOYER (If currently not employed, list past employer)

EMPLOYER NAME: _____________________________________________________

YOUR TITLE: _____________________________________________________

YOUR PHONE: _____________________________________________________

YOUR DUTIES: _____________________________________________________

_____________________________________________________

MAY WE CONTACT YOU AT WORK TO DISCUSS VOLUNTEERING? YES NO

EDUCATION SCHOOL: ___________________________________________

DEGREE: ________________________

DATE: _____________________________________________

SCHOOL: ___________________________________________

DEGREE: ________________________

DATE: _____________________________________________

 

 

 

 

 

 

SKILLS & INTERESTS

What specific interests, skills or areas of expertise would you like to bring to BGCM/L?

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________

Please identify the group (age group, gender), geographic area, club or program that you are interested in working. If no preference, please comment as such.

_____________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

List any foreign languages written or spoken.

__________________________________________________________________________________________________________________________________________________________

Please describe briefly your interest and motivation in becoming a BGCM/L volunteer.

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

Describe any past volunteering experience.

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________

VOLUNTEER ENROLLMENT FORM

3

AVAILABILITY

This section will help determine the best days and times you would like to volunteer. Please mark all days and times you would be available.

(Note: most clubs are open from 2:30pm-6:00pm Mon-Fri from August – May – please check hours available during the summer)    (Circle Available Days Below)

 
Monday Tuesday Wednesday Thursday Friday

Times Available _________________________________

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCE REQUEST

I, ______________________________, authorize BGCM/L to contact my reference(s) listed below. I understand that the information obtained will be used to further determine my eligibility to participate in the Volunteer Programs. Furthermore, I understand that the information obtained will not be used to discriminate against me in any way.

Please list two references below.

 

1. PROFESSIONAL

CONTACT’S NAME: ___________________________________________________________

ORGANIZATION: ___________________________________________________________

POSITION: ___________________________________________________________

PHONE AND EMAIL: ___________________________________________________________

 

2. VOLUNTEER RELATED OR PERSONAL (non-family)

CONTACT’S NAME: ___________________________________________________________

ORGANIZATION: ___________________________________________________________

POSITION: ___________________________________________________________

PHONE AND EMAIL:

 

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