Volunteer Application Form

Thank you so much for your interest in volunteering at the Goodman Community Center. Our many programs and services depend upon the generosity and dedication of volunteers like you to make them possible.

A valid email address is required to complete this application. If you do not have an email address, please pick up an application at the Goodman Community Center.

To begin volunteering at the GCC, please fill out our volunteer application, which will help us match you to one of our current openings. Once you complete the form, click the submit button at the bottom. You will generally hear from our volunteer manager within one week.

Contact Information:

First name:

Last name:

Middle name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Work phone:

OK to call me here

Cell phone:

Email address:

Date of birth:

If you would like to volunteer as a family with minor children, please list the children's full names and birthdates:

Background:

Gender Identity:

Education:

Ethnicity (optional):

School:

Gender Identity (self-described):

Pronouns (she/hers, they/theirs, etc):

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2

Employer name:

City:

State:

Community Service:

If you wish to volunteer to complete a community service requirement, please let us know who the service is required by (school, court-ordered, etc.), how many hours you need to complete, and when the service must be completed.

Availability:

Volunteers play many important roles in our organization, so please keep an open mind while considering what skills, talents, and time you have to share!

Interests:

The GCC has many programs for people of all ages. Please select your interests from the choices below. You may click on any item to learn more about the volunteer opportunity, including which days and times volunteers are needed.

Not all volunteer positions have openings at all times. We will do our best to place you where your work can have the greatest impact.

Company Affiliations

Some companies provide paid volunteer time, grants to organizations where employees or board directors volunteer, or employee/director gift matching. If you or your spouse are a current or retired employee or board director from any of the organizations below, please select all that apply.

If your company is not listed, you can always ask your HR department if they match gifts, provide PTO for volunteering, or offer volunteer grants or a dollars for doers program.

Girls Inc.

Have you/Are you currently a participant of the Girls Inc. program?

This DOES NOT include volunteering for Girls Inc., this only pertains to students who were in the program.

Are/Were you a Girls Inc. girl?

Reference:

Please list a professional, educational, or volunteer related reference we may contact. Please do not use a family member or friend.

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2

Employer name:

First name:

Last name:

Title:

City:

State:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Emergency Contacts:

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2

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Relationship:

Please let us know if there are any special circumstances or medical information which may affect treatment or which present special health risks in the event of an emergency (i.e. heart condition, allergies to medication, medications being taken, etc.).

Legal Release:

I choose to participate as a volunteer for the Goodman Community Center. I understand that these services are being offered on a voluntary basis without anticipation of any financial reimbursement. I agree that I will abide by any rules and direction and will report any injury or incident immediately to my supervisor.

I give my permission and consent to the GCC and any agency affiliated with the center to use, print, copy, publish, and reproduce any and all videotapes, audio tapes, photographs, films, negatives, prints reproductions, and likeness of any kind now or herinafter of myself made by the GCC for advertising, publicity, display, or any purpose whatsoever without fees to be paid to myself and/or any child listed on this application. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied.

I certify that all information provided on this application is true and I authorize the Goodman Community Center to contact my reference referred to in this application to attain any relevant information regarding my desire and ability to volunteer.

If this application is for a minor, the "I agree" box must be checked on the minor's behalf by a parent or guardian over the age of 18.

I Agree