Volunteers - Momentum Youth Sports Training

PERSONAL INFORMATION

Full Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth

Social Security Number *

Phone Number *

Email Address *

PROFESSIONAL BACKGROUND

Current Occupation/ Job Title

Employer Name

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name *

First

Last

May we contact your employer?

EDUCATION

Highest level of education completed

SKILLS/MOTIVATION

Please tell us the areas you are interested in volunteering. (Check all that apply)

Are there any potential conflicts of interest that we should be aware of?

List any special talents or skills that would benefit the organization.

Why do you want to volunteer with Momentum Youth Sports Training?

Momentum Youth Sports Training conducts background checks on all of our volunteers. Do you agree to a background check?

Signature *

Clear Signature

As a volunteer of our organization, I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that Momentum Youth Sports Training, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and that I am not eligible to receive any monetary payment or reward.

Date