Personal Details
Name: Prefix:
Mr.   Mrs.   Miss.   Ms.
Address: City:
State: Zip code:
Telephone(Home): Mobile:
Email: Date of Birth:
 
If you are involved with us as a volunteer and an emergency arises, whom should we contact?
Name: Relationship:
Telephone: (Home) : Mobile:
 
Equal Opportunities
You Are Destined For Greatness, Inc. is committed to equal opportunities and all volunteer recruitment decisions will be based on merit, suitability for the role and experience. Volunteer recruitment decisions will not be influenced by race, color, nationality, religion, sex, marital status, family status, sexual orientation, disability, or age. You Are Destined For Greatness, Inc. fully endorses a working environment free from discrimination and harassment.

You Are Destined For Greatness, Inc. is committed to standards of excellence in Child Protection practices. Because your volunteer role will require direct contact with minors, you will be subjected to a background screening. Please answer the following question below.
Have you ever been convicted of an offense in the state of Pennsylvania or elsewhere?
Yes     No
If you answered yes, please provide explicit details below:
 
Your Skills and Interests
1. Have you ever done any volunteer work before?     Yes     No
If you answered yes, please tell us a little about the experience(s).
2. Why do you want to volunteer now? What has motivated you to get in touch with us?
3. Do you have any particular skills or qualities that you could use in your volunteer work?
4. What kind of volunteer work interests you?
5. What age group do you prefer to work with the most?
Middle school (6-8)     High school (9-12)     Both Middle and High school (6-12)
6. When are you available to volunteer?     Totally Flexible
  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Morning
Afternoon
Evening
7. How long do you intend to volunteer?

(Note: Some opportunities demand a minimum time commitment)
8. How did you find out about volunteering with You Are Destined For Greatness, Inc.?
 Information/Outreach meeting
 You Are Destined For Greatness, Inc. website
 Posted flyer
 Word of mouth
 Volunteer Resource Center
 School
 Social media
 Other  
 
References
Reference 1 Name: Relationship:
Place of Work (If applicable): Position:
Telephone (Home): (Mobile):
E-Mail:
 
Reference 2 Name: Relationship:
Place of Work (If applicable): Position:
Telephone (Home): (Mobile):
E-Mail:
 
Reference 3 Name: Relationship:
Place of Work (If applicable): Position:
Telephone (Home): (Mobile):
E-Mail:
 
If you have any questions when completing this form, please e-mail us at info@dfginc.org. If you would like to find out more about You Are Destined For Greatness, Inc., please visit our website, www.dfginc.org.
 
Is there any additional information you would like to bring to our attention?
 
I declare that the information I have provided is true. I understand that a background screening is necessary for my potential involvement as a volunteer with this organization. I understand that all of my actions as a volunteer will reflect the philosophy of You Are Destined For Greatness, Inc. I understand that if any portion of this application is found to be intentionally false, potential volunteer opportunities will be denied.
 
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