Baker Youth Club Volunteer and Employee Application

Welcome to the Baker Youth Club family. BYC appreciates your interest in volunteering and supporting the children of BYC. Please complete the volunteer application and submit all information required. All personal information collected is strictly confidential. Including your email address in your application will ensure you are informed regarding your application. As part of standard BYC policy all visitors and volunteers that enter the building (excluding the office area) must show photo ID each time they visit. For assistance with your volunteer application please contact Tracy at 574-267-8771.

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter tracy@bakeryouthclub.com and a district administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

By my signature, I certify that I know, understand and agree that ant false statement or omission of information requested will result in my termination as a Baker Youth Club Volunteer.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Thank You

THANK YOU!

We appreciate your interest in investing your time in the children of our community. Your application is under review and you will be receiving a status email notifying you of approval or continued review of the application. In the event you do not receive an email within 72 hours please contact us at 574-267-8771 or tracy@bakeryouthclub.com.

Sincerely,

Baker Youth Club