Adult Volunteer Application
Adult Volunteer Application
Adult Volunteer Application
com 765-282-4461
Please fill in the days and times that you are available to volunteer.*
Times
*Limited volunteer opportunities exist after 6:00 pm. Clubs are closed on weekends.
Total number of hours each week you are available to volunteer: ______________
Estimated length of commitment (e.g. 3 months, 6 months, indefinitely, etc.): _____________________________________
List any special skills, areas of knowledge and/or experience (including non-English languages):
______________________________________________ ________________________________________________
______________________________________________ ________________________________________________
List any previous volunteer experiences (include name of organization) or experience working with youth.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
What is your occupation? ___________________________________________________
Name and address of employer: _________________________________________________________
________________________________________________________
________________________________________________________
Emergency Contact:
Name: ___________________________________________________ Phone: __________________________________________
NOTE: Providing the following information is strictly voluntary and confidential. It allows us to better assess our community outreach and is
not used in any manner to make decisions or judgments regarding a prospective volunteer.
BY SIGNING THIS DOCUMENT I AM AWARE THAT BOYS & GIRLS CLUBS OF MUNCIE MAY CONTACT THE ABOVE LISTED
REFERENCES. I ALSO AGREE TO SUBMIT MY FINGERPRINTS, IF REQUIRED, FOR THE PURPOSE OF A BACKGROUND CHECK AND WILL
NOT ENGAGE IN ANY UNSUPERVISED VOLUNTEER ACTIVITIES PRIOR TO THE COMPLETION OF THE CHECK.