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Volunteer Group Sign-Up

Organization

Group Name*

Address

Street Name 1*

City*

State*

Zip*

Main Contact

Name*

Contact Number*

Email address*

Time/Location:

Have you already been in contact with a club director?*

Yes

No

If so, which one?

Which day/days of the week is/are best for your group?*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Time available or planning to Volunteer:*

Club location preference:

Are any volunteers under the age of 18?*

Yes

No

(if so, additional forms are required)

We check the Public Sex & Violent Offender Registry for each volunteer.

Please provide the following for each participating group member on the reverse of this form.

First & Last Name	Sex- Male/female
Ethnicity	County of residence
Date of Birth	State of residence

Group Interest

(Please mark all that apply)*

Special events (i.e. Fundraisers: e.g. Golf Tournaments, Dinners, Carnivals, Talent Shows, etc.)

Club work (Hanging with the Kids, Field Trips, Dances, Family Day, Tutoring, Sports, etc.)

Administrative (Answering phones, copying, etc.)

Mailings

Publicity

Light facility maintenance (painting, cleaning, organizing, outdoor beautification, etc.)

Publicity

Other

Other (Please specify)

Volunteer Info

1. Full Name*

(first and last) – no nicknames please

Birth Date*

Email Address*

2. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

3. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

4. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

5. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

6. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

7. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

8. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

9. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

10. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

11. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

12. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

13. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

14. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

15. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

16. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

17. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

18. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

19. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

16. Full Name

(first and last) – no nicknames please

Birth Date

Email Address

Please type the characters*

This helps us prevent spam, thank you.

This field should be left blank

AmeriCorps at BGCIndy

Check out which AmeriCorps positions are open today! If you need help or want more information, contact Melissa at mchurchwell@bgcindy.org.

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