Volunteer

Please complete Volunteer and Criminal background check information to become a volunteer:

Personal contact information:

* Indicates required field

Name *

First

Last

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Email *

Any other work details *

Emergency contact details:

Name/relationship *

Phone Number *

References on character, skill and ability:

Name/Relationship/Phone *

Experience and qualifications:

Please check any of these skill areas if they relate to you: *

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: *

More information for volunteer:

Languages spoken: *

Other volunteer work: *

Hobbies/Interests: *

Why are you interested in becoming a Carver volunteer? How will volunteering for Carver impact the mission and legacy of the center? *

Other activities: *

Please indicate your availability: *

Where did you hear about Carver and this program: *

Criminal history background:

Carver 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) *

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) *

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: *

Privacy statement:

The 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.

By 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: *

Volunteer opportunities

Please complete Volunteer and Criminal background check information to become a volunteer:

Personal contact information:

Emergency contact details:

References on character, skill and ability:

Experience and qualifications:

More information for volunteer:

Criminal history background:

Privacy statement:

If you choose not to complete electronic document, please find paper form below:

Hours
monday-friday 9 am-6 pm
closed saturday and sunday

Volunteer opportunities

Please complete Volunteer and Criminal background check information to become a volunteer:

Personal contact information:

Emergency contact details:

References on character, skill and ability:

Experience and qualifications:

More information for volunteer:

Criminal history background:

Privacy statement:

If you choose not to complete electronic document, please find paper form below:

Hoursmonday-friday 9 am-6 pmclosed saturday and sunday

Hours
monday-friday 9 am-6 pm
closed saturday and sunday