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Volunteer Application 2016-2017

(* required field)

Contact Information

* First Name

* Last Name

* Street Address

* City

* State

* Zip Code

* Email

Phone (XXX-XXX-XXXX)

Ethnicity
We collect ethnicity and age information to track the diversity of our volunteers.
African American
Asian/ Pacific Islander
Latina/Latino
Native American
Mixed Ethnicity
White
Other -

Age Group
under 18
18-25
26-35
36-45
46-55
56-65
over 65

Emergency Contact Information

* Emergency Contact Name

* Emergency Contact Relationship

* Emergency Contact Phone Number

* What programs would you be interested in volunteering with? (check all that apply)
These are options available year round.

Work with youth

Girls Program Walker Volunteer (K-5th grade at a school site)

Workshop Leader / Dynamic Woman

Form Translator (I am fluent in a language)

High Level Math or History Tutor

Internship (10-40 hours per week)

Host a teen at my workplace for job shadow

Holiday Sale Volunteer

On-going Clerical Support at the Girls Inc. Office

Group Workplace Volunteers

Court-Appointed Volunteer

Board Committee Member

High School Student Community Service

Other -

* Have you ever worked with youth?
yes
no

If yes, please describe your experience working with youth.

Are you interested in being a Dynamic Woman or being part of a Speaker Series?
yes
no

If yes, please indicate your job or relevant career information.

* Are you currently employed?
yes
no

If yes, where do you work?

* Are you available at least one weekday during after school (afternoon) hours?
yes
no

Please list any languages (besides English) that you speak, read and/or write fluently.

* Would you be willing to submit to a criminal background check if required for your volunteer assignment?
Fingerprinting is required for all people (18 years or older) who volunteer directly with the girls and teens. Additional fees may apply.
yes
no

* Girls Inc. is not obligated to provide a volunteer placement for you, nor are you obligated to accept any position offered. Please check YES to agree to these terms and agreements.
Yes, I understand and agree to these terms.