Volunteer Application
* Required Fields
Contact Information
* Title (Mr/Ms) 
* First Name 
* Last Name 
* Address 
  Address 2 
* City 
* State/Province 
* Zip/Postal Code 
* Home Phone 
  Work Phone 
* Email 
  Date of Birth 
(mm/dd/yyyy) 


Volunteer Information
  How did you hear about us? 
  Why do you want to volunteer? 
  Do you have any physical needs
that require special arrangements? 
  If yes, please explain 
  Days and time available. 


Skills and Experience
  Please check all that apply: 
  Fresh Connect 
  Food Program Delivery 
  Clerical 
  Volunteer Tax Program   Other (specify below) 
  Additional Information    


Volunteer Agreement
  I am volunteering my services to Bucks County Opportunity Council, Inc. I agree that I will perform these services for civic, charitable, or humanitarian reasons; a “personal purpose or pleasure”; or to gain employment contacts or a practical work experience without promise, expectation, or receipt of compensation and without any coercion or pressure from Bucks County Opportunity Council, Inc. or any other person or entity. 
  I give permission for any photograph or video taken of me while performing as an Opportunity Council volunteer or at an Opportunity Council event to be used for any and all promotional activities of the Bucks County Opportunity Council, Inc. I agree to hold harmless the Bucks County Opportunity Council, Inc. and assume full responsibility for this action.    I acknowledge and understand that any information I obtain while serving as a volunteer of the Bucks County Opportunity Council, Inc. is confidential and is to be used only in the performance of my duties. I will not divulge any information about any client or volunteer to any outside person or agency except with the explicit permission; nor will I divulge client information to any unauthorized staff member. I will not divulge any privileged information concerning agency business, operations, clients, or employees to any unauthorized person, agency, or organization.   I agree that if I participate in any discussions about Opportunity Council business or operation, of a confidential nature, I will not divulge the content, purpose, or outcome of the discussion to any person not authorized by the policy to have access to the discussion information.  
* Volunteer Initials 


Privacy Policy
We keep your personal information private and secure. When you submit this form, your name, contact information, and any additional information will be available only to our organization.

Contact Us: Bucks County Opportunity Council ** 100 Doyle Street Doylestown, PA 18901 ** 215-345-8175 *** www.bcoc.org

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