Volunteer Application - Gold Buckle Champion

We are pleased you are considering volunteering for Gold Buckle Champion. Private information gathered will not be revealed to the general public.

Every field is required, and the form won't submit until they are complete. Parents must agree to consent. By submitting this form you certify that all the information is true to the best of your knowledge.

To laugh often and much, to win the respect of intelligent people and the affection of children, to earn the appreciation of honest critics and endure the betrayal of false friends, to appreciate beauty, to find the best in others, to leave the world a bit better, whether by a healthy child, a garden patch... to know even one life has breathed easier because you have lived. This is to have succeeded!
-Emerson

Volunteer Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Occupation/Employer*
Date of Birth*
If you are under 18 your parents must submit this form.
Driver's License#*
Driver's License State*
Copy of valid government issued photo identification*
Drop files here or

Max. file size: 1 MB.
Qualification Questions
Special professional training, skills, hobbies:
Community affiliations (Clubs, Service Organizations, etc.):
Previous volunteer experience:
Do you have children in the program? Please answer yes or no. If yes, list full names and ages?
Special Certification (CPR, Medical, etc.):
Have you ever been convicted of or plead guilty to any crime(s) involving or against a minor?: Please answer yes or no. If yes, describe each in full:
Are there any criminal charges pending against you regarding any crime(s) involving or against a minor? Please answer yes or no. If yes, describe each in full:
Have you ever been refused participation in any other youth programs? Please answer yes or no. If yes, explain:
By submitting this form you certify that all the information is true to the best of your knowledge.

Volunteer Information

Qualification Questions

By submitting this form you certify that all the information is true to the best of your knowledge.

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