One-Time Volunteer Application

Thank you for your interest in volunteering with the Boys & Girls Clubs of Benton and Franklin Counties! Upon completing this form, our Volunteer Director will contact you within two weeks to discuss potential volunteer opportunities. *All personal information will be kept confidential.

Name*
First Middle Last
Email*
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Birthday*
MM slash DD slash YYYY
Referred by (who is your contact at Boys & Girls Clubs?)
School or Employer
Why are you interested in volunteering with Boys & Girls Clubs of Benton and Franklin Counties?*
What type of activity or program would you like to do?*
Which Club site are you interested in volunteering at?*
Are you wanting to volunteer as a group or an invidual?*
- Group
- Individual
If you selected "Group", which group, business, or organization are you with?
Have you ever been arrested?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Are there any outstanding warrants out against you?*
- Yes
- No
If you answered "Yes" to any of the above three questions, please explain
Volunteer Agreement
By typing your name below, you are agreeing to our Volunteer Agreement:
Boys & Girls Clubs of Benton and Franklin Counties is a private nonprofit organization. Our mission is to empower all young people, especially those who need us most, to reach their full potential as productive, caring, responsible citizens. We have zero tolerance for inappropriate behavior of any kind. Since many youth look to our volunteers as role models, you must agree, at all times, to:
- Dress appropriately. Appearance must be clean, neat and appropriate for youth programs. Inappropriate attire includes and is not limited to shorts less than fingertip length, yoga pants, tight clothing, thin-strapped tank tops, cut off shirts with large armholes, midriff exposure or low-cut tops. A volunteer may be denied for inappropriate attire.
- Not invite last minute guests or bring children to join your presentation or special event. All people involved in your service must be previously approved before you enter the Clubhouse.
- Remain under the supervision and support of assigned Club staff.
- Refrain from being alone with youth.
- Refrain from using language of a sexual, vulgar or provocative nature.
- Refrain from speaking in a disrespectful, teasing, deriding or sarcastic tone.
- Refrain from sharing contact information or having outside contact (including social media) with youth.
- Use verbal positive feedback and support instead of physical contact with youth. Refrain from allowing youth to sit on your lap or hang on you and limit physical contact to handshakes, high-fives and fist bumps.
- Use only bathrooms assigned to adults or volunteers.
- Secure your valuables and put away your mobile device or phone.
- Not allow youth to access your mobile device or phone.
- Refrain from taking photos or videos of youth or violating their privacy in any way.
I agree to abide by the policies of Boys & Girls Clubs of Benton and Franklin Counties and volunteer codes of conduct for appropriate contact with children and youth. All of the information above is true and correct to the best of my knowledge.
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