Volunteer Opportunities

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

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Interests *

Please indicate with a check mark the area(s) you are interested in volunteering. Areas noted with an (*) will require volunteer to have a background check.

*Receptionist Area (meet/greet visitors to the Change Center; answering phone calls during the day)

*Chaperoning (assisting staff at the Change Center when open; monitoring guests; etc.)

*Parking Lot Patrol (patrolling parking lot during evening operation hours/special events)

*Tutoring (please see follow-up below)

*Job Skills (please see follow-up below)

*Coaching (i.e., basketball, street hockey, etc.)

Skate Cleaning

Facility (clean-up, grounds, arena floor, etc.)

Lobby Entrance Monitoring

Other (please see follow-up below)

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

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Our Policy *

Please read and review prior to submission: It is the policy of the Change Center to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. ------------------------------------------------------------------------------------------------------------------------------------------ As a volunteer at the Change Center, I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees, Board of Directors, and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. I understand that individuals who volunteer to work with youth under the age of eighteen must submit to a background check (at the volunteer’s expense). If you agree to these terms and conditions, please sign below.

I agree