Volunteer Application Form (Page 2 of 2) in pdf

AREAS OF SKILLS/INTEREST

Check areas in which you have certifications, interest, experience, and/or training/knowledge:

_____Adult Training

_____Photography

_____Outdoor Skills/Camp

_____Music

_____Business Skills

_____Computers

_____Plan Events

_____Arts & Crafts

_____Farm Animals

_____Second Language

_____Canoeing

_____CPR/First Aid

_____Games

_____Public Speaking

_____International Exp

_____Drawing/Painting

_____Archery

Other: __________________

VOLUNTEER EXPERIENCE/LIFE EXPERIENCE

List previous Girl Scout or other youth group experience first:

Name of Group

Position /Year

Supervisor Name & Phone Number

EDUCATION/TRAINING

(High School, College, Grad School)

Name of School

Date Graduated

Degree

__________________________________________________________________________________

EMPLOYMENT

____________________________________________________

Employer Name, Address & Phone#

Occupation

____________________________

_____________________________

Responsibilities

REFERENCES

List 2 persons not related to you who can judge your qualifications for this position (through employment,

religious affiliation, friend, someone who knows about your work with children, etc. If you have previous

experience as a volunteer, one reference should be from that organization.

Name

Relationship

Email Address

Telephone

1. __________________________________________________________________________________

2. __________________________________________________________________________________

This is an application for a volunteer position in Girl Scouting, for which there is no monetary compensation. In the selection of a

volunteer, there shall be no discrimination against an otherwise qualified individual on the basis of race, color, ethnicity, sex,

religion, creed, national origin, socioeconomic status, age, disability, marital status, veteran status or any other basis prohibited by

federal, state or local law. I hereby authorize Girl Scouts - Diamonds of Arkansas, Oklahoma and Texas to complete a background

check as well as check all my educational, personal and employment references; I further authorize these references to release to

you information that they may have about me. I understand that any misrepresentation, omission, or falsification of any fact from

this application or during any interview will be cause for rejection of this application or dismissal from volunteer services. I also

understand that acceptance for a volunteer service is subject to verification of references and criminal background check.

Signature: __________________________________________________________Date:_____________

TO BE COMPLETED BY COUNCIL:

Interviewed by: _______________________________________________________________ Date: ____________

Appointment to (position) ______________________________________ Refusal based on ___________________

Referred to: __________________________________ Phone #: ________________________Date: ____________

Volunteer Application Form Page 2

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