Volunteer Application

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)

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

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

Tell us why you'd like to volunteer with us ... and how you see your talents and skills benefiting Boyertown Area Multi-Service. *

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.

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.