Volunteer Application

Application

* Indicates required field

Name *

First

Last

Date of Birth *

Email *

Phone Number *

Address *

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City

State

Zip Code

Country

Have you been a resident of Pennsylvania for the entirety of the previous 10 years? *

Yes No

Educational Background

Name of High School *

Year Graduated *

Name of College, Business or Professional School *

Specialization *

Program interested in helping with: *

High School & Jr. High (Tuesdays 6-8 pm) Elementary (Wednesdays 6-8 pm) Girls Night 4th-7th Grade (Thursdays 6-8 pm) Men's Basketball (Mondays 6-8 pm) Weightlifting (Part of our Tues & Wed evening programs) Mountain Biking (Summer Program - every other Wednesday evening)

Reason for wanting to volunteer with The Bridge: *

What experience do you have working with elementary-aged children and/or teenagers?

Please list church, civic, sports teams/activities, elective and appointive positions held in a church, civic or school organizations especially as they relate to children and youth. *

Special Interests and/or Hobbies *

Write a brief explanation of your understanding of what it means to be Christian. *

Church Information

Name of church you are currently attending *

Pastor's Name *

Pastor's Address *

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City

State

Zip Code

Country

Personal References

Provide the information of two persons, not relatives, who have known you for over three years.

Reference #1:

Name *

First

Last

Phone Number *

Address *

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City

State

Zip Code

Country

Occupation *

Reference #2:

Name *

First

Last

Phone Number *

Address *

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City

State

Zip Code

Country

Occupation *

Emergency Contact

Name *

First

Last

Relation *

Home Phone *

Cell Number *

Additional Remarks and Information *

The next step after this application will be to complete a Criminal Background Check and a Child Abuse clearance form. Instructions will be provided.

By typing my name below, I hereby grant permission to The Bridge Youth Center to contact the above references.

Signature *

Date *

Submit