Volunteers are vital to the operations of the center. Volunteers will be utilized in many capacities such as chaperoning, security/check in-out, escorts to parking, gaming station setup and troubleshooting, cafe / food handling, movie theater, art space help etc.

We hope to have enough volunteers that everyone will only need to work a couple times a month for a few hours.

Total volunteer hours to date: 1,500.

First Name:
Last Name:
Email Address:
Address:
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Home Phone Number:
Alternate Phone Number:
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relationship:
Education Background:
Current Occupation:
Hobbies, Skills and Interests:
Previous Volunteer Experience:
Preference in Volunteering:	Internet Cafe Library/Multi-media Art Programs Concessions Check-in Arcade Alley Security Tutoring After School No Preference Other
Availability:	Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday:
	Have you ever been convicted of a criminal offense? Yes No
	Have you ever been charged with neglect, abuse or assault? Yes No
	Has your driver's license ever been suspended or revoked in any state? Yes No
	Do you have any physical limitations or are you under any course of treatment which might limit your ability to perform certain types of work? Yes No
Reference 1 (non-relatives):	Name Phone
Reference 2 (non-relatives):	Name Phone
Terms and Conditions:	This is an application for a volunteer position with Riverbender.com Community Center for which there is no monetary compensation. In the selection of volunteers, there shall be no discrimination against an otherwise qualified individual on the basis of race, color, ethnicity, gender, 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 you to check my personal references; I further authorize these references to release to you information that they have about me. I understand that all volunteer positions require a Criminal Background check. I understand that any misrepresentation, omission or falsification of any fact from this application or during the interview will be cause for rejection of this application or dismissal from volunteer service. I understand that I must attend an orientation session prior to being allowed to volunteer at the Riverbender.com Community Center. Orientation sessions are the first and third ___day of each month and I must call and RSVP for one of these.
I agree to the agreement:
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