Volunteer Application Form

Name
I am volunteering as:
Emergency Contact
Are you volunteering for educational credit?
Reference #1
Reference #2
Statement of Agreement
Statement of Agreement I am interested in serving as a volunteer. I will hold the Boys & Girls Clubs of Syracuse blameless if I am in any way injured during my work as a volunteer. As a volunteer applicant, I also understand that the Boys & Girls Clubs of Syracuse must conduct a criminal background check. I also give the Boys & Girls Clubs of Syracuse permission to contact listed references.
Check those areas of assignment where you have experience or interest:
Check those locations where you would like to volunteer:
Note: Volunteers are not permitted to start at a site until the background check is processed and cleared