Volunteer Application Form - BGC Battlefords

2021 volunteer application form

2021 Volunteer Application Form

VOLUNTEER INFORMATION

Name *

First

Last

Birthdate (month/day/year)

Physical Address (If different from mailing address.)

Address Line 1

City

State / Province / Region

Postal Code

Mailing Address *

Address Line 1

City

State / Province / Region

Postal Code

Gender *

Male
Female
Non-binary

Health Card Number *

Phone *

Email *

Background Information (Voluntary): To support BGCB in tracking progress, statistics, and applying for funding, please check if any of the below categories apply to you.

Country of Origin:

INTERESTS

AVAILABILITY

September to June (Mondays to Fridays, 3:00pm-8:30pm)

Yes
No

What Dates & Times Are You Available?

September to June (Saturdays, 1:00pm-4:00pm)

Yes
No

What Dates & Times Are You Available?

July to August (Monday-Friday 8:00am-6:00pm)

Yes
No

What Dates & Times Are You Available?

REQUIRED DOCUMENTS

Do you have a current Criminal Record Check with Vulnerable Sector? (Less than 90 days from the date of issue) *

Yes
No

*All volunteers must have a current Criminal Record Check with Vulnerable Sector on file with Boys & Girls Clubs of The Battlefords prior to volunteering.

If you do not have a current Criminal Record Check with Vulnerable Sector, are you willing to get one? *

Yes
No

EMERGENCY CONTACT INFORMATION

Emergency Contact #1 *

First

Last

Relationship to Volunteer *

Phone *

City Of Residence *

Emergency Contact #2 *

First

Last

Relationship to Volunteer *

Phone *

City of Residence *

I acknowledge and agree that in the course of my volunteerism contract with BOYS AND GIRLS CLUBS OF THE BATTLEFORDS INCORPORATED ("BGCB"), I will become aware of clients/members of BGCB and have access to client/member's information which is confidential. Any and all information pertaining to a client/member's business and affairs are to be held in strict confidence. I will not disclose or make known to anyone any information about a client/member and a client/member's business and affairs, without express consent of BGCB. I will maintain this confidentiality after my volunteerism contract with BGCB has been completed.

Name *

First

Last

Date *

Message