BOOK CLUB - VOLUNTEER FACILITATOR APPLICATION AND BACKGROUND CHECK AUTHORIZATION FORM
Email *
First Name *
Last Name *
Street Address *
City *
State *
Zipcode *
Cell Phone Number *
Email Address *
Social Security # *
Driver's License # and State Issued *
Employer and Job Title *
Do you have experience working with people with disabilities? If Yes, please describe. *
When are you available to begin serving as an NCBC Volunteer Facilitator? *
What days of the week are you available to volunteer? Check any days you are available each week. Your club will meet one day each week. *
Required
Have you ever been convicted of a misdemeanor or felony? (If you are convicted of a misdemeanor or felony, you need to inform Texas Advocates within 24 hours) *
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