Boyertown Area Multi-Service
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    Volunteer Application

    If you are currently working, are you applying through your company sponsored volunteer program?

    If you answered yes, please give the name and contact information for your company volunteer program coordinator:


    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)
    Please note: All Meals on Wheels Drivers and Runners are required to participate in a background check - free of charge.

    How would you best describe yourself? (Please check all that apply)

    Availability
    When are you available to volunteer? (Please check all that apply)


    Mondays
    Tuesdays
    Wednesdays
    Thursdays
    Fridays
    Saturdays
    Sundays


    Please note: We require individuals to be 18 years of age or older in order to fulfill Student or Court Ordered Community Service hours.
    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.

    Emergency Contacts - Please give the names and contact information for two individuals we can contact
    in case of an emergency.

    References - Please give two references. Reference may not be related.
    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.
Submit