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Contact Info

Boys & Girls Clubs of Chicago

Club Support Center
550 W. Van Buren Street
Suite 350
Chicago, IL 60607

Phone: (312) 235-8000
Fax: (312) 427-4110

Volunteer Interest Form

BOYS & GIRLS CLUBS OF CHICAGO

Last Name:
Street Number: ex. 550
State:
Zip:
 - 
 
First Name:   MI:
Street Name: ex. W. Van Buren
City:
Date of Birth:
Phone:
 -  -  
  Cell:
 -  -  
  Email:
Have you ever been a member of the Boys & Girls Clubs?


Qualifications

Employment

Employer Name: (Current or most recent)
Title:
Work Phone Number:
 -  -  
Duties:
May we contact you at work?

Education

School:   Degree:
Date:    



Skills & Interests

Preferred Age Group:
 
What specific interests, skills or areas of expertise would you like to bring to BGCC?
 
Please identify the geographic area, club or program that you are interested in working.
If no preference, please comment as such.
 
List any foreign languages written or spoken.
 
Please describe briefly your interest and motivation in becoming a BGCC volunteer.
 
Describe any past volunteering experience.
 
How did you hear about Boys & Girls Clubs of Chicago?




Availability

Please mark all days and times you are available to volunteer.
NOTE: Volunteer needs are primarily between 2:30PM and 7:30PM Monday through Friday during the school year and 9:00AM - 5:00PM during the summer.
  Monday Tuesday Wednesday Thursday Friday
Time Available
Mode of Transportation:
Preferred Club:


References

Professional

Contact's Name:
Organization:
Position:
Phone:
 -  -  
E-mail:

Volunteer-Related or Personal (non-family)

Contact's Name:
Organization:
Position:
Phone:
 -  -  
E-mail:

Volunteer-Related or Personal (non-family)

Contact's Name:
Organization:
Position:
Phone:
 -  -  
E-mail:


Please provide the following information for statistical information. The following 2 questions are optional.
Gender:
Ethnic Background:

In compliance with the state and federal laws, Boys & Girls Clubs of Chicago does not unlawfully discriminate any individual on the basis of age, race, color, handicap, marital status, sex, national origin, ancestry, arrest record, conviction or citizenship status.