Carver Community Center, Inc.
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Please complete Volunteer and Criminal background check information to become a volunteer:
P
ersonal contact information:
*
Indicates required field
Name
*
First
Last
Date of Birth
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Race/Ethnicity
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Native American or Alaskan native
Asian or Asian American
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
Other
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone
*
Email
*
Fill in either your email address or phone number or both in order to be contacted.
Current Work status and occupation
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Work
School
Retired
Full Time
Part Time
Any other work details
*
E
mergency contact details:
Name/relationship
*
Phone Number
*
R
eferences on character, skill and ability:
Name/Relationship/Phone
*
Name/Relationship/Phone
*
E
xperience and qualifications:
Please check any of these skill areas if they relate to you:
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Training or education in teaching or tutoring
Experience teaching or tutoring school students
Experience teaching English as a Second language
Experience working with young people
Please elaborate more on experiences:
*
M
ore information for volunteer:
Languages spoken:
*
Other volunteer work:
*
Hobbies/Interests:
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Why are you interested in becoming a Carver volunteer? How will volunteering for Carver impact the mission and legacy of the center?
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What area would you like to volunteer in? (Select all that apply):
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Basketball
Pickleball
Ping Pong
Admissions
Concessions
Summer Lunch Program
Tutoring
Art program
Game Room
Summer Celebration volunteer
Chess Club
Other activities:
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Please indicate your availability:
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Where did you hear about Carver and this program:
*
C
riminal history background:
C
arver Community Center is authorized to perform criminal history record checks on applicants for volunteers, coaches, workers/employees, and officials. Pursuant to this authority, we must obtain the following information to perform a criminal history record check. This information will be used only for the purposes of obtaining a criminal history record for Carver Community Center. We will consider your relevant criminal conviction record in determining your eligibility for a volunteer position with Carver Community Center. By signing below, I understand the purpose for which the above information will be used, and I voluntarily provide such information to Carver Community Center to be used for all authorized purposes. I hereby request and authorize Carver Community Center, acting through any of its officers, employees, and agents, to use the information provided by me on this form for performing a criminal history record check on me. I understand and agree that the result of the criminal history record check will be used to assist Carver Community Center in determining my eligibility for volunteering, coaching, working/employment, and/or officiating. I hereby release Carver Community Center and its officers, employees, and agents from any and all liability, which may or could result from furnishing the information requested above or from any subsequent use of such information in determining my eligibility for volunteering, coaching, working/employment, or officiating.
Convicted of a felony? (If yes, list name of charge)
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Yes
No
Name of charge:
*
Date
*
County:
*
State:
*
Convicted of a crime involving sex, drugs, alcohol, violent crimes, or improper conduct with or around minors? (If yes, list name of charge)
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Yes
No
Name of charge:
*
State:
*
County:
*
I
understand and agree that I am responsible for the sportsmanship of everyone with my team or at an event and agree to abide by these requirements and any others that are enacted for Carver Community Center.
Name:
*
First
Last
Date:
*
Signature:
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Privacy statement:
T
he privacy information on this form is being collected for the purposes of recruiting and selecting volunteers wishing to work at Carver Community Center. The information may also be required for evaluation purposes. Any evaluation reports developed will not identify individual volunteers by name. This information may be shared with partner organizations and funding bodies.
B
y signing this form, I attest that the information supplied is true and accurate.
I understand that submitting this application does not automatically register me as a volunteer but that there is a selection process including a satisfactory welfare check and participation in training. I confirm that I am willing to volunteer, and I understand that my photos or likeliness may be used per Carver Community Center needs. I also agree to follow all the rules and regulations of Carver Community Center.
Name:
*
First
Last
Date:
*
Signature:
*
Submit
SIGN UP TO COACH FOR OUR WINTER BASKETBALL LEAGUE TODAY!
W
e are looking for dedicated volunteer coaches to help us this Winter! Fill out the form below and we will contact you! Thank you!
*
Indicates required field
First Name
*
Last Name
*
Email
*
Phone Number
*
What grade level do you prefer?
*
I agree to receiving marketing and promotional materials
*
Submit
Home
About Carver & History
News
After School Program
Programs
Art
>
UnderTone Music and Fine Art
Education
>
Robotics
Tutoring
Closing the Gap
Sports
>
Basketball
>
Be A Coach
Winter Youth Basketball League
Girls Basketball Winter League Registration
Pickleball
Summer Celebration
Support us
Donations
Volunteer
Membership
Rentals
Contact us
Direct contact