Volunteer Application "*" indicates required fields Personal InformationName* First Middle Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Times Available to VolunteerBoys & Girls Club is open Monday - Friday and provides a number of programs before school, after school, on non-school days and during the summer. Monday: Tuesday: Wednesday: Thursday: Friday: Have you previously volunteered with the Boys & Girls Clubs of Central MN?* Yes No Have you previously been employed with the Boys & Girls Clubs of Central MN?* Yes No At which site(s) did you work/volunteer?*Athlos KIDSTOPClearview KIDSTOPDiscovery KIDSTOPKennedy KIDSTOPLincoln KIDSTOPMadison KIDSTOPMississippi Heights KIDSTOPOak Hill KIDSTOPOak Ridge KIDSTOPPine Meadow KIDSTOPPleasantview KIDSTOPRiverview KIDSTOPROCORI KIDSTOPSTRIDE KIDSTOPTalahi KIDSTOPWestwood KIDSTOPEastside Boys & Girls ClubRoosevelt Boys & Girls ClubSouthside Boys & Girls ClubSauk Rapids Storm After SchoolWhat type of volunteer position are you applying for?* CSB/SJU Service Learning Sartell High School Class Corporate Partner Short-term volunteer (min. 20 hours) Long-term volunteer Background Check*Please note: This document does not count as the applicant’s background check consent form. The consent form will be filled out upon completion of the screening. Criminal background checks at a cost of $15.00 will be processed after the applicant is screened and completes a background check consent form. This cost is the responsibility of the applicant. Please provide your credit card information below, and accounting will hold processing until you are notified of acceptance. If the application process is terminated before screening for any reason, this transaction will also be terminated and your credit card will not be charged. If credit card processing is not an option for you, please contact our Volunteer/Internship Coordinator for other options at 320-252-7616.Background Check Price: Credit Card InformationTotal Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Thank you for applying to become a volunteer!We appreciate your interest in volunteering for the Boys & Girls Club. Our HR department will connect with you soon for more information. Please note that all volunteers must pass a criminal background check.PhoneThis field is for validation purposes and should be left unchanged.