Volunteer Information
Tell us about yourself
How did you hear about us?
Are you a Boys & Girls Club Alumni? YesNo
If you are alumni what club were you a member at?
What is your availability to work during a typical week?
Monday
Tuesday
Wednesday
Thursday
Friday
What areas are you interested in helping with? (Select level of interest)
Office / Data Entry / Clerical: StrongSomeNone
Arts / Crafts: StrongSomeNone
Education - Homework / Tutoring: StrongSomeNone
Sports / Recreation: StrongSomeNone
Fundraising / Marketing: StrongSomeNone
Program Support: StrongSomeNone
Facility Repair / Maintenance / Cleaning: StrongSomeNone
Gardening / Landscaping: StrongSomeNone
Other Activity
Is there a specific project, sport, or activity that you are interested in volunteering for?
Preferred Club(s) or Site(s)
Oahu Administrative Offices (Downtown Honolulu)Charles C. Spalding Clubhouse (McCully - Washington Middle School)Hale Pono Clubhouse (Ewa Beach - Campbell High School)Nanakuli Teen Center (Nanakuli High School)NFL YET Hawaii Clubhouse (Nanakuli - Nanaikapono Elementary)Wai'anae Clubhouse (85-165 Plantation Road)Winard Clubhouse (Kailua - Kailua Intermediate Schoool)
Kauai Kapa'a Clubhouse (Kapaa - Kapaa High School)Lihue Clubhouse (4193 Hardy Street)West Kauai Site (Waimea - West Kauai Technology Center Phase I)
Why are you interested in Volunteering at the Boys & Girls Club?
Please list one volunteer-related or Professional Related Reference (Not a family member)
Have you been convicted of a crime(s) in the past ten years? YesNo If yes, describe in full:
Have you ever been criminally charged with any crime related to the mistreatment, abuse or molestation of children? YesNo If yes, explain the circumstances:
Have you ever been terminated involuntarily from a paid or volunteer position or suspended from an educational institution? YesNo If yes, explain the circumstances:
Agreement & Signature
I certify that all the answers given by me to all the questions on this questionnaire and any attachment are to the best of my knowledge true and that I have not withheld any pertinent information. I understand that omission, misrepresentation, or false information submitted in connection with this application may result in refusal of or summary dismissal from volunteer responsibilities. I hereby agree that in the course of considering my application, the Boys & Girls Club of Hawaii may make an inquiry to ascertain information concerning my background and I understand that upon written request, information as to the nature and scope of the inquiry, if one is made, will be provided to me.
Signature:
Date:
[recaptcha] It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Thank you for your interest in volunteering for the Boys & Girls Club of Hawaii.
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