Volunteer Application

COUNTRY CLUB COMMUNITY OUTREACH CENTER

Country Club Outreach Center - Volunteer Application

Name

First

Last

Date of Birth

Email Address

Phone Number

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Name

First

Last

all / /

Relationship to Volunteer

Emergency Contact Phone Number

Summer Camp – Age Group Preference

“Complete this section only if you selected Summer Camp above.”

Previous Volunteer Experience

Relevant Skills / Certifications

Languages Spoken (Optional)

Background & Compliance (Required)

I understand and agree that volunteering with the Country Club Community Outreach Center may require a criminal background check due to working with minors. I authorize the organization to conduct a background check in accordance with applicable laws.

Code of Conduct & Policies

I agree to comply with all Country Club Community Outreach Center policies, procedures, and code of conduct.

Medical conditions (Optional)

CPR / First Aid Certified?

Photo & Media Release (Optional)

Typed Signature (Full Legal Name)

Typing your full legal name serves as your electronic signature.

Date Signed