Volunteer Opportunities

We are always looking for volunteers...

To find out more, please contact Derrick Floyd at 706-546-5912, or Floy8888@hotmail.com

For mentoring oppoortunities, email mentor@athensbgca.com

EMPLOYMENT/VOLUNTEER APPLICATION

Boys & Girls Clubs of Athens, Inc.

P.O. Box 546

Athens, GA 30603

706-546-5912

The Boys & Girls Club has been part of a nationwide and local effort to help assure the protection of children from abuse and exploitation. Therefore, in order to safeguard the well-being of the youth served, the Boys & Girls Club will investigate the accuracy of the information provided in the application process for all applicants before appointment to the staff can be made. This investigation may iunclude, but is not limited to, reference-checking with past employers, the military, schools, appropriate volunteer agencies, police and other government agencies.

POSITION APPLIED FOR:
Category: Paid Full-Time Paid Part-Time* Volunteer* Date Available:
*If Part-Time or Volunteer, please indicate the dates and times that you are available:

GENERAL INFORMATION
First Name: MI: Last:
Please list any other names by which you have been known, including maiden name:

Street: Apt#: P.O. Box#:
City: State: Zip:
Phone (area code first): Date of Birth:
Email Address:
Previous address (past 10 years) and for how long at each address:
Have you been convicted of a crime or crimes in the past 10 years? Yes No
If you checked "Yes," please describe as fully as possible the nature of your convictions(s):

EDUCATION
High School(s) attended:
Date Graduated:
College(s)/Universities attended:
Date Graduated:
Degree(s) Received:

EMPLOYMENT INFORMATION (please list most recent employer first)
Previous Employer: phone:
Previous Employer: phone:
Previous Employer: phone:
Previous Employer: phone:
Special Skills:
Interests/Hobbies:

I certify that all the answers given by me to all the questions on this application and any attachment are to the best of my knowledge accurate and true. Furthermore, I have not withheld any pertinent information.

I understand that any omission, misrepresentation, or false information submitted in connection with this application may result in refusal of or subsequent dismissal from employment.

I hereby agree that in the course of considering my application, you may make 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.

Name: Date: