Girls Place, Inc. Volunteer Form

Name * First Last
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Email Address - Must be checked regularly. *
Gender * Female Male
Local Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Permanent Address **If your local address is your permanent address, leave this blank**
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Emergency Contact
Name *
Phone * - (###) - ### ####
Are You at least 18 years old? * Yes No
Are you a student? * Yes No
If yes, what school do you attend?
Are you volunteering for a class requirement? * Yes No
If yes, please list the class and required hours:
What volunteer opportunities interest you? * Please check all that apply. * * After School Sports and Recreation Camp Athletics (specify: Volleyball, Basketball, Track and Field, Dance) Specialty Classes (specify: drama, piano, girl scouts, etc.) Summer Day Camp
Grade level preferred (Check all that apply if you have a preference): K-1st Grade 2nd-3rd Grade 4th-5th Grade 6th-7th Grade 8th-12th Grade
Please list the times that you would be available to volunteer. If unavailable on a day, write "N/A".
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
References * List 3 personal references. No family members please. *
Reference 1
Name *
Relationship / Organization *
Phone # *
Reference 2
Name *
Relationship / Organization *
Phone # *
Reference 3
Name *
Relationship / Organization *
Phone # *
Please list any previous volunteer experience:
#1
Organization
Duties
Supervisor Name
Dates Worked
#2
Organization
Duties
Supervisor Name
Dates Worked
#3
Organization
Duties
Supervisor Name
Dates Worked
We would love to know more about you. Please write anything about yourself, your personality, your interests, hobbies, etc. *
What do you hope to gain by volunteering for the Girls Place? *
How did you hear about us?
Please upload your resume here. Only Word '.doc' or Adobe '.pdf' files will be accepted.
By typing my name below, I hereby agree to abide by the rules and regulations of Girls Place, Inc., as they relate to my position as a volunteer: *

Girls Place, Inc. Volunteer Form

Girls Place, Inc. Volunteer Form

Emergency Contact

Please list the times that you would be available to volunteer. If unavailable on a day, write "N/A".

References * List 3 personal references. No family members please. *

Reference 1

Reference 2

Reference 3

Please list any previous volunteer experience:

#1

#2

#3