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Adult Volunteer Form

Volunteers are vital to the operations of the center. Volunteers will be utilized in many capacities such as chaperoning, security/check in-out, escorts to parking, gaming station setup and troubleshooting, cafe / food handling, movie theater, art space help etc.

We hope to have enough volunteers that everyone will only need to work a couple times a month for a few hours.

Total volunteer hours to date: 1,500.

First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip code:
Home Phone Number:
Alternate Phone Number:
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relationship:
Education Background:
Current Occupation:
Hobbies, Skills and Interests:
Previous Volunteer Experience:
Preference in Volunteering: Internet Cafe
Library/Multi-media
Art Programs
Concessions
Check-in
Arcade Alley
Security
Tutoring
After School
No Preference
Other
Availability:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Have you ever been convicted of a criminal offense?
Yes No
Have you ever been charged with neglect, abuse or assault?
Yes No
Has your driver's license ever been suspended or revoked in any state?
Yes No
Do you have any physical limitations or are you under any course of treatment which might limit your ability to perform certain types of work?
Yes No
Reference 1 (non-relatives): Name Phone
Reference 2 (non-relatives): Name Phone
Terms and Conditions:
I agree to the agreement:
Key Phrase:
Enter Key Phrase:

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Riverbender Com Community Center

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Office Hours: 8:00am-4:00pm M-F
P: 618-465-9850 x 212 F: 618-465-9851
200 West 3rd Street | Alton, IL. 62002
communitycenter@riverbender.com