Volunteer Application Form

First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Mailing Address (if different than above):
City:
State:
Zip Code:
Home Phone ( ) -  
Mobile Phone ( ) -  
Work Phone ( ) -  
Email:
Best way to contact you : Home Mobile Work Email

EMERGENCY CONTACT
First Contact's Name:
Relationship:
Home Phone ( ) -
Mobile Phone ( ) -  
Work Phone ( ) -  
   

Because our work involves minors, prior to working directly with campers you must submit a current child abuse clearance & criminal record check. Volunteers without current & satisfactory clearances may not work during camp week & Girls Rock Philly reserves the right to reject those applications.

Please initial here here to indicate that you will submit clearances & understand the above requirement:

Thank you! Girls Rock Philly will send you the proper forms as soon as we receive your application.