Tell us about yourself
How did you hear about us?
Are you a Boys & Girls Club Alumni?
If you are alumni what club were you a member at?
What areas are you interested in helping with? (Select level of interest)
Is there a specific project, sport, or activity that you are interested in volunteering for?
Why are you interested in Volunteering at the Boys & Girls Club?
Have you been convicted of a crime(s) in the past ten years? YesNoIf yes, describe in full:
Have you ever been criminally charged with any crime related to the mistreatment, abuse or molestation of children? YesNoIf yes, explain the circumstances:
Have you ever been terminated involuntarily from a paid or volunteer position or suspended from an educational institution? YesNoIf 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.
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.