Application - G2 Community Youth Foundation

APPLICATION FOR VOLUNTEER/BOARD MEMBER

PERSONAL INFORMATION:

1. Name: *

First

Last

2. Address: *

3. Phone Number: *

4. Email: *

5. Date of Birth: *

6. Emergency Contact Name: *

7. Emergency Contact Phone Number: *

BACKGROUND INFORMATION:

8. Have you ever been convicted of a crime? (Please note that a conviction does not necessarily disqualify you from volunteering/employment.) *

8a. If answered Yes to question 8 please provide more details in the box below

9. Do you have any medical conditions that may affect your ability to perform your duties as a volunteer/employee? *

9a. If answered yes to medical conditions, please provide details below:

REFRENCES:

10. Please List 3 references below include name and phone numbers: *

AVAILABILITY:

11. Please list your availability. Be sure to include start date, days, hours etc. *

VOLUNTEER PREFRENCES:

12. Please indicate the position you are interested in? *

12a. Department: *

12b. List any skills/experience you may have that corresponds with this position: *

G2 Community Youth Foundation Board of Directors Requirements:

Attend monthly meetings (roughly 1 hour). Volunteer for 10 hours a month. Four weeks prior to planned events, attend weekly meetings in preparation to events.

DISCLOSURE:

G2 Community Youth Foundation performs background checks on all volunteers prior to their acceptance into the program. By submitting this application, you authorize G2 Community Youth Foundation to conduct a background check on you. There will be a background check fee that must be paid upon submission of this application.

ACKNOWLEDGEMENT:

I acknowledge that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statements or omission's may result in disqualification from volunteering at G2 Community Youth Foundation. I authorize G2 Community Youth Foundation to contact my references and conduct a background check.

E-Signature *

Date / Time *

Date

Time

THANK YOU!

Thank you for your interest in volunteering/working with G2 Community Youth Foundation. We appreciate your commitment to our mission and look forward to working with you.