Boys & Girls Clubs of Northeast Ohio · BGCNEO Volunteer Application

Contact Information

The information you provide in this application will be used to complete a background check before you are approved to volunteer. Please complete the form to the best of your ability. Should you have any questions please contact our Event and Volunteer Manager at cnewton@bgcneo.org or 216-202-1955.

Name

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First Name

Last Name

Email

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Verify Email

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Primary Phone Number

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Social Security Number

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Boys & Girls Clubs of Northeast Ohio is PCI DSS compliant certified by Security Metrics.

Race/Ethnicity

African American

Asian

Hispanic/Latino

Multi-Racial

Native American

Caucasian

Other

Prefer not to answer

Birthdate

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(mm/dd/yyyy)

Years of High School

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High School Name

Are you or did you attend college?

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Yes

No

Years of College

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Major

College(s) attended

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Organization/Employer

Job Title

Have you ever been convicted of any law violation (except minor traffic violations?)

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Yes

No

Please describe in full and give dates

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Have you ever volunteered before?

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Yes

No

Volunteer Organization Name

Please describe your volunteer experience (current and previous)

Special Skills or Qualifications

Volunteer Job Opportunities

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Before selecting a volunteer position please visit our website at www.bgcneo.org to learn more about each of these unique opportunities.

Homework Help

Fundraising Events

Quarterly Volunteer Events

Regional Preference

Please select which county you would like to volunteer in.

Age Group Preference

Please select which age group you would prefer to volunteer with.

Person to Notify in Case of Emergency

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First Name

Last Name

Relationship

Emergency Contact Phone

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Emergency Contact Secondary Phone

Background Check Release

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I hereby authorize Boys & Girls Clubs of Northeast Ohio or other authorized representatives of the Agency bearing this Release, or copy thereof, within one year of its date, to obtain any information in your files pertaining to any felony convictions through First Advantage National Criminal File, sexual offences through the National Sex Offender Registry (Dept. of Justice) and for Social Security Number Verification. I understand if any misdemeanors are listed that the Boys & Girls Clubs of Northeast Ohio reserves the right to determine if I can continue as a volunteer. I hereby direct you to release such information upon request of the bearer. I hereby release you, as the custodian of such records, and any law enforcement agency, including its officers, employees, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs or associates, because of your compliance with this authorization and request to release information, or any attempt to comply with it or the nature of the information you provide. This Release is executed with the full knowledge and understanding that the information will be used in connection with the consideration of my volunteering by Boys & Girls Clubs of Northeast Ohio. Should there be any question as to the validity of this Release, you may contact the Agency as indicated above.

Yes

No

Background Check Payment

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$10 - This fee covers our cost to process a background check. All volunteers are required to pass a background check. You will not be allowed to volunteer until we have completed a background check. After clicking submit on the application you will be prompted to process the payment via Stripe processing.

Statement of Applicant

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By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I'm accepted as a volunteer, any false statements, omissions, or other misrepresentations may result in my immediate dismissal. I understand that my current employer, the volunteer site that I have listed in my application and law enforcement/criminal records agencies may be contacted by Boys & Girls Clubs of Northeast Ohio on my behalf.

Yes

No

Non-Discrimination Statement

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. Be sure to click submit, you will be sent to a confirmation page after you have completed the form. You will also receive a confirmation email. Thank you for completing this application form and for your interest in volunteering with us.

Please type your name. By doing so you are also indicating that you understand we will consider this an electronic signature.

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Be sure to click submit, you will be sent to a second page to complete the background check payment.

BGCNEO will not receive this application until you have completed the background check payment ($10.00) which will be processed after you click submit at the bottom of this page. If you have any questions about the background check payment please contact our Event and Volunteer Manager at cnewton@bgcneo.org or 216-202-1955. Once you have completed all steps you will receive a confirmation email.