Volunteer Application Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow did you find out about our organization?Direct mailAdvertisementOnline SearchFriend / FamilyBusiness ColleagueOtherList memberships in clubs and organizationsList hobbies and skills (from crafts to technical)Reasons for Volunteering with BBHIHCheckmark the activities you are interested in participating in (*can be done at home)Working a food tableInstructing games for kidsArts and crafts with kidsCleaning up after eventPick up prepaid food for eventMentorship with youthConverse with youth/kids during eventPrepare food for events*Prepare arts/crafts projects*How many hours per week would you be able to dedicate?3 hour or less3 to 5 hours5 to 10 hours10 to 20 hours20 or more hoursWhat days of the week are you available?MondayTuesdayWednesdayThursdayFridaySaturdaySundayWhat time of day are you available?MorningAfternoonEveningDo you have any criminal convictions, including charges involving domestic violence and/or minors? *YesNoPlease DescribeWill you be willing to having a nationwide background check processed, if needed?*YesNoPlease explainHow many years have you been a Missouri resident?*In Case Of Emergency Contact In Case Of EmergencyEmergency Contact Name *FirstLastEmergency Contact PhoneEmergency Contact RelationshipPhysicianPhysician Name *FirstLastPhysician Office / ClinicPhysician PhoneBefore hitting the “Submit” button below, verify the information given on this application is accurate to the best of your knowledge. By submitting, you also agree to the policies listed below. (Please, be sure to look back over the application before submitting.) As a volunteer/mentor, you will not be alone with a client at any time Any contact with clients outside of BBHIH events/programs is only liable to the individual volunteer/mentor When representing BBHIH (at events, mentoring youth, wearing BBHIH shirts, etc.), respect others, yourself, us, and property BBHIH has the right to request volunteers to take a drug test BBHIH is not liable for any injuries that take place during an event or mentoring You consent to have your photo taken at BBHIH events. Submit
