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TEEN VOLUNTEER APPLICATION
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Neighborhood Boys & Girls Club
2501 W. Irving Park Road Chicago, IL 60618 |
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| First Name________________________ | Last Name________________________ | ||||||||
| Address________________________ | Apt #_________ | Zip_____________ | |||||||
| Daytime #________________________ | Evening #__________________________ | ||||||||
| E-mail________________________ | Pager/Cell #________________________ | ||||||||
| School________________________ | Grade____________ | Age_____________ | |||||||
| Have you ever participated in programs at NBGC (please list activities and years) | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| Have you volunteered at NBGC in the past? If yes, please list activities or programs. | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| If you were not a member of NBGC how did you hear about the Club? | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| What program (s) are you interested in volunteering for now? | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| Which groups do you prefer to work with? Please check all that apply. | |||||||||
| Co-Ed Programs | Boys Programs | Girls Programs | Team Sports | ||||||
| ___ | Pre-Discovery | ___ | Cadet League | ___ | Pebble League | ___Boys Football | |||
| Infant-5 Yrs | 2nd-3th Grade | 2nd-3th Grade | |||||||
| ___Boys Basketball | |||||||||
| ___ | Discovery | ___ | Prep League | ___ | Junior League | ||||
| K-1st Grade | 4th-5th Grade | 4th-5th Grade | ___Boys Floor Hockey | ||||||
| ___ | Cadet/Pebble | ___ | Tribe League | ___ | Senior League | ___Boys Baseball | |||
| 2nd-3th Grade | 6th-8th Grade | 6th-8th Grade | |||||||
| ___Boys Teen 16" Softball | |||||||||
| ___ | Prep/Junior | ||||||||
| 4th-5th Grade | ___Girls Soccer | ||||||||
| ___ | Tribe/Senior | ___ | Boys Programs | ___ | Girls Programs | ___Girls Basketball | |||
| 6th-8th Grade | Where Needed | Where Needed | |||||||
| ___Girls 12" Softball | |||||||||
| ___ | Teen | ||||||||
| 9th-12th Grade | ___Girls Cheerleading | ||||||||
| Would you be interested in starting a new program? If yes, list your ideas. | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| Do you have any special skills, talents or areas of interest? Please list. | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| ________________________________________________________________________ | |||||||||
| Please list your volunteer experience | |||||||||
| Agency Name | Dates Involved | Duties/Responsibilities | |||||||
| ______________________ | _____________________ | ______________________________________ | |||||||
| ______________________ | _____________________ | ______________________________________ | |||||||
| ______________________ | _____________________ | ______________________________________ | |||||||
| ______________________ | _____________________ | ______________________________________ | |||||||
| What days & times are you available to volunteer? Please check all that apply | |||||||||
| Day of week | 9:00-12:00 | 12:00-3:00 | 3:00-6:00 | 6:00-9:00 | |||||
| Monday | ________ | ________ | ________ | ________ | |||||
| Tuesday | ________ | ________ | ________ | ________ | |||||
| Wednesday | ________ | ________ | ________ | ________ | |||||
| Thursday | ________ | ________ | ________ | ________ | |||||
| Friday | ________ | ________ | ________ | ________ | |||||
| Saturday | ________ | ________ | ________ | ________ | |||||
| ________ | |||||||||
| Are you volunteering at NBGC for Community Service Hours? If yes, What program(s)?_______ | |||||||||
| ___ | H.S. graduation requirement | ___ | Confirmation Requirement | ||||||
| ___ | Court alternative | ___ | S.M.A.R.T. Program | ||||||
| ___ | I just want to help | ___ | Other_____________________________ | ||||||
| __________________________________ | |||||||||
| Signature_______________________________ | Date___________________ | ||||||||