Volunteer Application 2016-17
Welcome and thank you for choosing Girl Scouts!
In order to ensure our girls’ well-being and safety, we require that all potential volunteers complete a Adult Volunteer Application, including the Criminal Background Check Authorization Form. By completing a Adult Volunteer Application you certify that all information provided is true and complete. Please be aware there is a fee for completing the Criminal Background Check that ranges from $8 to $31.
The Adult Volunteer Application only needs to be filled out once.
The Adult Membership Registration MUST be filled out yearly,
along with paying the membership fee of $15.
As a Girl Scout Volunteer you agree to:
· Pay the yearly membership registration fee of $15.00
· Live by the Girl Scout Promise and Law
· Take trainings as necessary for each volunteer position appointed to
· Follow Volunteer Essentials and Safety Activity Checkpoints
· Do not volunteer/meet with girls until you receive a Girl Scouts of Michigan Shore to Shore appointment letter/email
Any questions on completing this Adult Volunteer Application can be directed to
844-GSMISTS or firstname.lastname@example.org
I give my permission for Girl Scouts of Michigan Shore to Shore to conduct a criminal background check and personal history. The record received from reporting agencies may include arrest and conviction data, plea bargains and deferred adjudication. It may also include information regarding my driving history.
I understand that this information will be used, in part, to determine my eligibility for a volunteer position with this organization. Girl Scouts of Michigan Shore to Shore has the right, in its sole decision, to reject this application and deny admission as a volunteer based on the results of the investigation.
I expressly waive any claim against the Girl Scouts of Michigan Shore to Shore and its officers, directors, employees, and agents which may arise from the investigation, use of the information discovered, and the decision to accept or reject this application.
I also understand that as long as I remain a volunteer, the criminal background check may be repeated at any time.
I hereby release and agree to indemnify and hold Girl Scouts of Michigan Shore to Shore, and each of their employees and agents, harmless from and against any and all liability, expense and claims for damage of any nature resulting from the investigation of my background check.
I certify that all information provided on this application is true and complete. I understand that falsification or significant omissions of any information may be considered justification for non-acceptance, or dismissal at a later date.
I acknowledge receipt of a copy of the Consumer Financial Protection Bureau’s “A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT.”