Mid-America Council
Mid-America Council Volunteer Application
Thank you for your interest in volunteering with the Boy Scouts of America! To help us find a volunteer opportunity that suits your interests and skills, please take a moment to complete this application form. 

If you have any questions, please contact Clarissa Conolley, at 402.431.9BSA (402.431.9272) or 326vopportunities@scouting.org.

Mid-America Council Volunteer Application

* Fields are required
Background Information
*First name:
Middle initial:
*Last name:
*Date of Birth (mm/dd/yyyy):
*Social Security # (xxx-xx-xxxx):
*Street Address:
*City:
*State:
*Zip Code:
*Main Phone:
Alternate Phone:
*Email:

Interests
Tell us which areas you are interested in volunteering.
Administration:
Events:
General Labor:

Availability
During which hours are you available for volunteer assignments?
Weekday:
Weekend:

Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment or through other activities, including hobbies or sports.
Special Skills:

Previous Volunteer Experience
Summarize your previous volunteer experience(s).
Previous Volunteer Experience:

Person to Notify in Case of Emergency
*First name:
*Last name:
*Relationship:
*Street Address:
*City:
*State:
*Zip Code:
*Main Phone:
Alternate Phone:
*Email:

References
*First name:
*Last name:
*Phone Number:
*First name:
*Last name:
*Phone Number:
*First name:
*Last name:
*Phone Number:

How did you learn about our program?:


What would you like to gain by volunteering?:

Volunteer Agreement
I agree to volunteer my services to the Mid-America Council Boy Scouts of America (MAC) abiding by the rules, regulations, and policies. I will work under the direction of its staff towards its mission. I understand my services will be terminated if I do not abide by the MAC rules, regulations, and policies. I authorize the MAC to investigate all statements made on this application and perform a background check.
*Check the box to agree to the terms listed above.: