Boys and Girls Club of Albany Volunteer Application

Thank you for your interest in volunteering with the Boys & Girls Club of Albany!

Please fill in as much as possible about yourself so we can get to know you.

Be sure to check the "I Agree" box and click the continue button at the bottom of the page once you have completed the form.

Name and address

First name:

Last name:

Middle name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

Email address:

Date of birth:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Age:

Gender:

Education:

T-Shirt size:

School:

Availability

Please indicate the days and times you are usually available to volunteer.

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

What area would you like to volunteer in?

Select all that apply for areas you would be interested in volunteering.

If you have made a prior arrangement to be a coach please list what sport you are coaching or who you are coaching with.

If you are interested in coaching, please indicate which sports team, and any preference for grade, gender, head coach, assistant coach, etc.

For Background Check - Required

Your Social Security Number and Driver License number are required to run a background check if you are over 18 years old. If you are under 18, please enter 000-00-0000. If you would like to provide this information over the phone, please enter 000-00-0000 and call McKena Roberts at 541-926-6666 ext. 220 to. We will delete this information from our database as soon as your background check has been submitted.

Social Security Number:

Driver's License Number:

Have you ever been charged or convicted of a crime? If yes, please explain.

BGCA Alumni

Are you a Boys and Girls Club of Albany Alumni? If you ever attended after school program or played sports for the Club, enter your graduation year so we can add you to our Alumni List.

Graduation Year:

Agreement

Regardless of whether the applicant grants consent, the Boys & Girls Club of Albany will conduct a criminal offender record check of all applicants for paid and volunteer positions. The applicant is entitled to review his/her criminal history for inaccurate or incomplete information. Discrimination by an employer on the basis of arrest records alone may violate federal civil rights law. The applicant may obtain further information concerning the applicant's rights by contraction of Bureau of Labor and Industries, Civil Rights Division, State Office Building, 4th Floor, Portland, Oregon, 97201, phone, 503-229-6600. I acknowledge receipt of this notice. I understand that the Boys & Girls Club of Albany will conduct a background check prior to any volunteer or employment activity.

I authorize the Boys & Girls Club of Albany to run a criminal background check and I understand that if there are any derogatory marks I may not be eligible for hire or continual employment/volunteerism.

I Agree