Volunteer Application Volunteer Application Thank You for your interest in volunteering with BCYMP. About You Name * Local Address * Local Address Local Address Local Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Phone Numbers Cell Phone * Carrier * Can we text you? Yes No Home Phone Work Phone Background Do you have a valid drivers license? * Yes No Expiration Date * Has an employer or other organization run a Background Check on you in the last six months? Yes (If available, please email the results as a attachment to email@example.com) No Have you ever been convicted or arrested for a Felony Offense? If yes, explain. * Yes No Please explain, * Have you ever been investigated in connection with a child abuse. molestation or neglect matter? If yes, explain. * Yes No Please explain, * Volunteering Questions How did you hear about bcymp? * What skills or projects would you like to share with BCYMP Mentors and Mentees? * Are you volunteering as an individual or group? * Individual Group How often would you like to volunteer * 1 time Ongoing OtherOther As part of the screening process, BCYMP will run a criminal background check before matching you with a K-12 grade student. Are you able to help BCYMP serve more kids by making a donation towards the expense of running your background check? Yes, I can donate 100% of the expense up to $60. Yes, I can donated 50% of the expense, up to $30. No, I'm sorry, but can't make a donation at this time. I certify that all the information above is correct. Clear Submit If you are human, leave this field blank.