BBBS LOGOWPM 18+ Volunteer Enrollment Form

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Volunteer Information
*NOTE:  THE BELOW QUESTIONS ABOUT YOUR ETHNICITY, MARITAL STATUS, GENDER/SEXUAL IDENTITY AND RELIGIOUS PRACTICE ARE USED ONLY TO HELP CHOOSE THE MOST BENEFICIAL MATCH FOR YOUR LITTLE.  THIS INFORMATION WILL NOT BE CONSIDERED IN DETERMINING WHETHER OR NOT YOU ARE ACCEPTED INTO THE PROGRAM.

As listed on your Driver's License



Please ensure the YEAR is correct.

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Additional Volunteer Information
Employment & Education Information
Total # of years completed in a school setting










Emergency Contact




References
Personal
Reference #1: Friend (acquainted at least 2 years, non-relative)






Spousal/Familial
Reference #2: Spouse or Significant Other (if not applicable, include family member)






Professional
Reference #3: Current Employer/Supervisor (if self-employed please include client/business partner or other non-relative)






Driver's License & Auto Insurance Information






Experience









Household Information



Volunteer Pre-Enrollment Questionnaire























Volunteer Consent
Please initial each item to complete form.
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Media Consent and Agreement

Please initial one of the two boxes below and sign and complete all information at bottom of form.

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Applicant Signature
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Communication Consent & Agreement

Please initial one of the two boxes below and complete form with your signature and date.

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Applicant Signature 
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RELEASE AND WAIVER OF LIABILITY

Applicant Signature 
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