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Volunteer Application
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Indicates required field
Applicant Name
*
First
Last
Applicant Email
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Applicant Address
*
Line 1
Line 2
City
State
Zip Code
Country
Applicant Municipality
*
Applicant Date of Birth
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Current Employment
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Retired
Work part time
Work full time
Student
Other
Other - please explain
*
Current/Past Occupation
*
If currently employed, Employer Name
*
If you are currently working, are you applying through your company sponsored volunteer program?
Check one answer
*
Yes
No
Primary Phone - please indicate home or cell
*
Primary Home, Cell or Work
*
Secondary Phone - please indicate home or cell
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Secondary Home, Cell or Work
*
Best way to contact you?
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Home phone
Cell phone
Work phone
Email
If you answered yes, please give the name and contact information for your company volunteer program coordinator:
Volunteer Program Company Contact Name
*
First
Last
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Company Contact Phone Number
*
Company Contact Email
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Volunteer History (Organizations, role you played, positions held, etc.)
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Hobbies
*
Tell us about yourself. Where do your interests/skills lie with regard to our needs - at Multi-Service and/or The Center at Spring Street.
(Please check all that apply)
Media & Marketing
*
Editing/Writing
Graphic Design
Newsletter
Photography
Videography
Social Media
Public Relations/Marketing
Church & Community Relations
Community Fair Ambassador
Volunteer Relations & Recruiting
Public speaking/presentations
Agency/Center Tours
Artist/Illustrator
Website maintenance
Internet research
Meals on Wheels
*
Packing/preparing food for delivery
Driver/Runner - delivering food
Scheduler
Sanitizer
Please note:
All Meals on Wheels Drivers and Runners are required to participate in a background check - free of charge.
Events & Fundraising
*
Event promotion
Event planning
Event manning
Fundraising
Grant writing
Financial
*
Accounting/Bookkeeping
Money management
Financial planning
Budgeting
Tax accountant
Board of Directors
Additional Assistance
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Kitchen
Dishwashing machine assistant
Landscaping
Food Pantry
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Various positions
Office, Computers & Organizational Needs
*
Human Resources
Staffing
Typing on a computer keyboard
Microsoft Office proficient (Word, Excel, PP)
Data Entry
Editing/proofing
Filing/sorting
General office related assistance
Operating copier
Assemble mass/bulk mailings
Download/upload documents with ease
Ability to train others on computers
Receptionist/switchboard
Seasonal
*
Various positions
Programming & Community
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Teaching
Resume writing
Career development
Computer technology
Musician
Dance
Story teller
Face painter
Exercise leader
Work with children
Work with Seniors
Program or project management
Training and curriculum development
Workshop facilitation
Do you speak a language other than English?
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Yes
No
If yes, what languages do you speak?
*
Spanish
French
Italian
Other
How would you best describe yourself?
(Please check all that apply)
Choose Any
*
Organized
Detailed oriented
A people-person
Creative
Have a high level of patience
Leader
Work well under pressure
Choose Any
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Someone who likes to work with children
Someone who likes to work with teenagers
Someone who likes to work with adults
Someone who likes to work with Seniors
Prefer working alone
Prefer working in a group
Enjoy developing plans and setting goals
Availability
When are you available to volunteer?
(Please check all that apply)
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Choose Any
*
Mornings
Mornings
Mornings
Mornings
Mornings
Mornings
Mornings
Choose Any
*
Afternoons
Afternoons
Afternoons
Afternoons
Afternoons
Afternoons
Afternoons
Choose Any
*
Evenings
Evenings
Evenings
Evenings
Evenings
Evenings
Evenings
How long would you like to commit yourself to a volunteer position?
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One time only
A few hours per month
One day per month
Seasonally
As needed
Indefinitely
Tell us why you'd like to volunteer with us ... and how you see your talents and skills benefiting Boyertown Area Multi-Service.
*
What is your age?
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13-18
19-25
26-35
36-50
Over 50
Please note:
We require individuals to be 18 years of age or older in order to fulfill Student or Court Ordered Community Service hours.
Are you a student?
*
Yes
No
If you are a student, do you need to complete volunteer hours for a school program?
*
Yes
No
How did you hear about this site?
*
Internet Search
Advertisement
School/Teacher
Friend
Other
If Other please specify:
*
If you are applying in order to fulfill court-ordered community service, please provide details of your obligation and the nature of your offense.
*
Please note:
In regards to court-ordered community service, in addition to our minimum age requirement of 18 years of age, Boyertown Area Multi-Service reserves the right to exclude certain offenses.
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
*
Emergency Contacts - Please give the names and contact information for two individuals we can contact
in case of an emergency.
Emergency Contact # 1 - Name
*
First
Last
Emergency Contact # 1 - Phone Number
*
Emergency Contact # 1 - Email
*
Emergency Contact # 2 - Name
*
First
Last
Emergency Contact # 2 - Phone Number
*
Emergency Contact # 2 - Email
*
References - Please give two references. Reference may not be related.
Reference # 1 - Name
*
First
Last
Reference # 2 - Name
*
First
Last
Reference # 1 - Relation to you
*
Reference # 2 - Relation to you
*
Reference # 1 - Phone Number
*
Reference # 2 - Phone Number
*
Reference # 1 - Email Address
*
Reference # 2 - Email Address
*
I acknowledge that all of the information on this application is correct. By submitting this application, I agree to abide by the policies and procedures of
Boyertown Area Multi-Service, Inc.
I am aware that
Boyertown Area Multi-Service, Inc.
conducts background checks on volunteers serving in some positions and I will comply with this request. I understand that depending on the result of the background check, my role as a volunteer may be required to change.
Signature (please type your full name)
*
Date
*
Submit