BOYS AND GIRLS CLUB OF SOUTHWEST MISSOURI
Volunteer Application
317 Comingo Ave, Joplin MO 64801
417-623-80725700 Fax: 417-781-3825
GENERAL
Previous or Present Volunteer Jobs
Most Recent
Previous or Present Volunteer Jobs
Next Most Recent
Previous or Present Volunteer Jobs
Next Most Recent
Skills and Interests
Is there a paticular type of volunteer work in which you are interested? (Check all that apply)
Are there any groups you would not feel comfortable working with?
Availability
At what times are you interested in volunteering?
How did you hear about us?
References
Give names and addresses of 3 persons (not relatives) having knowledge of your character, experience, and ability
Reference One
Reference Two
Reference Three
CONSENT FORM
I hereby authorize Boys & Girls Club of Southwest Missouri to receive any criminal history record information pertaining to me which may be in the files or any state of local criminal justice agencies.
The undersigned, in consideration of participation of this program, agrees to indemnify, hold harmless, and release the Boys & Girls Club of Southwest Missouri, it’s members, employees, officers, directors, agents, and associated personnel, whether paid of volunteer against all claims, demands, and causes of action related to injury, disability, death, or any other loss or harm to person or property resulting from my child’s participation in this program, whether arising from the negligence of the releases or otherwise, to the fullest extent permitted by law. I have read the agreement and fully understand that I assume all risks for any injuries received.
TALENT RELEASE
I understand that photographs or videotapes may be made of my volunteer activities at Boys & Girls Club of Southwest Missouri. I authorize the Boys & Girls Club of Southwest Missouri, without limitation, to copy, publish, or distribute such photographs or videotapes for the purpose of reporting or promotion of volunteerism. I waive all rights and claims I may have against your organization, and/or its agents, subsidiaries, or assignees related to the above photos and videotapes.
Dear Prospective Volunteer:
Thank you for your interest in volunteering with the Boys & Girls Club of Southwest Missouri. With your help, we can strengthen existing programs, add new programs, and extend them to more boys and girls.
Our emphasis is on providing wholesome activities supervised by adults of high moral character. Because the risk, no matter how remote, of exploitation or abuse of our boy and girls club members is unacceptable, we are required to secure your consent for a background check and examine all references.
Thank you for your understanding of both the need and the time (approximately 2 weeks) it will take to process your placement.