Volunteer Application Form

Please complete this application form if you are interested in becoming a Boysville volunteer. Once you complete the form, click the submit button at the bottom. In addition to completing this application, you will need to attend a Volunteer Orientation Session. Additional forms will be distributed upon review of your application and collected at the Volunteer Orientation.

General Information

Name *

First

Middle

Last

Nickname

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Work Phone

Cell Phone *

Email *

Demographic Information

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

Date of Birth *

Gender *

Race

Marital Status

Spouse's Name

Skills and Experience

Please list any previous volunteer experience and the length of time at each organization. If you stopped volunteering this year, please state why.

Skills and Experience

Availability

Please indicate the days / times you are available to volunteer.

Morning

Afternoon

Evening

I would like to serve up to:

Enter number of hours

Assignment Preference

Background Information

Have you ever been indicted or convicted of a misdemeanor or felony? If Yes to either question, please explain.

Background Information Details

Emergency Contact

In the event of an emergency, whom should we contact?

Emergency Contact Name *

First

Last

Emergency Contact Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Home phone

Emergency Contact Cell phone *

Emergency Contact Email

Relationship *

Employer Information

Please list your current or most recent employer, if applicable.

Employer name

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Work Phone

Work Email

Additional Information

Please share any additional information about yourself that you think will be helpful.

Additional Information

Personal References

(No relatives please) All volunteers must provide three letters of reference. These letters are required before you can start your volunteer work with Boysville, Inc.

Reference One Name *

First

Last

Reference One Phone *

Reference One Email *

Reference Two Name *

First

Last

Reference Two Phone *

Reference Two Email *

Reference Three Name *

First

Last

Reference Three Phone *

Reference Three Email *

Agreement Section

I understand and agree that submitting this application form does not automatically register me as a Boysville volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures, and background clearance before I may begin volunteering. By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree

I Agree