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Sign-Up to Become A Volunteer at The Good Fight Community Center

Your gift of time is the most precious contribution you can make. The efforts of volunteers, who bring their talents to youth, allows The Good Fight Community Center's programs to be effective.

Step 1 of 4

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Personal Information
First Name*
Middle Initial*
Last Name*
Address*
Street AddressCityStateZIP Code
E-mail Address*
Phone*
Biological Sex
Which of the following applies to you?*
- I am employed
- I am a student
- I am retired
Check all that apply.
Emergency Contact Information
Emergency Contact Name*
Relationship*
Address*
Street AddressCityStateZIP Code
Primary Phone*
Secondary Phone
Employer / School Information
Employer / School Name*
Address*
Street AddressCityStateZIP Code
Phone*
May we contact if necessary?*
- Yes
- No
Title / Position*
Work Hours*
Are volunteer hours required for a class or for community service credit?*
- Yes
- No
Number of hours required if yes:
Please enter a number from 0 to 9999999999999999.
Please explain what your availability looks like (EX. Which days of the week can you volunteer? What times?)*
Required date of completion*
MM slash DD slash YYYY
Name of college/school/organization (if applicable)
Current grade level
Graduation year
Major

Please Describe the Following
How did you become interested in the Good Fight Community Center, Inc.?*
Previous or current volunteer experience, training, or licensing that would be beneficial to The Good Fight's volunteer work.*
Educational background, hobbies, or special interests*
Languages spoken (other than English)
Would you like to be notified of special event volunteer opportunities throughout the year to donate your time and energy to our organization?*
- Yes
- No

Have you ever used, or been known by any other name?*
- Yes
- No
Please explain*
Have you ever been placed on probation or had a complaint or petition filed against you as an adult or juvenile, for other than traffic violations?*
- Yes
- No
Please explain*
Have you ever been convicted of a misdemeanor/felony assault, battery, drug possession, child abuse, or DUI?*
- Yes
- No
Please explain*
Have you ever been dismissed from any other volunteer program?*
- Yes
- No
Please explain*
Do you have any contagious disease, health issue, or history of emotional illness that would currently place youth, other workers, or yourself at risk?*
- Yes
- No
Please explain*
Volunteer Disclaimer
I declare under penalty of perjury that all statements on this form and attachments are true and complete to the best of my knowledge. I understand that false, misleading or incomplete information shall be cause for disqualification.

Note: False statements made under penalty of perjury may also result in criminal prosecution.
Name of Applicant / Electronic Signature*

By entering your name above, you agree your electronic signature is the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature, and that you are authorized to sign this document.
Date*
MM slash DD slash YYYY

Volunteer Applicant Certification and Authorization
I hereby give the Good Fight Community Center, Inc., the right to conduct an investigation of my background. I understand that the investigation may include inquiry into my past employment, education and activities, including but not limited to, criminal background information and driving record. I release from all liability all persons, companies schools, and corporations supplying such information. I release The Good Fight Community Center against any liability, which may result from making such investigation. I understand that any false answers, statements, implications or derogatory information made by me or which is revealed as a result of this background investigation based on information supplied in any application for employment, or other required documents, may be a sufficient cause for denial of volunteer assignment, or dismissal from the program.
I understand that the Good Fight Community Center, Inc. may contact my previous employers or references and I authorize those employers and references to disclose to the Good Fight Community Center, Inc and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of such information by any person or party, whether such information is favorable or unfavorable to me.
Full Name of Applicant / Electronic Signature*

By entering your name above, you agree your electronic signature is the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature, and that you are authorized to sign this document.
Date of Birth*
MM slash DD slash YYYY
Applicant's Electronic Signature*

By entering your name above, you agree your electronic signature is the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature, and that you are authorized to sign this document.
Date*
MM slash DD slash YYYY
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