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BAWSI Volunteer Application
If you have not yet registered for access to our online scheduling system, please complete the following form.
* required field
APPLICANT INFORMATION
*
First Name
*
Last Name
*
Email
*
Zip/Postal Code
Primary/Home Phone
Mobile Phone
Other/Work Phone
Address
City
State/Province
(AA) Armed Forces Americas
(AE) Armed Forces Europe
(AP) Armed Forces Pacific
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Minor Outlying Islands
Utah
Vermont
Virgin Islands of the U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ADDITIONAL INFORMATION
Date Available to Start
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
PROGRAMS & AVAILABILITY
Preferred Programs
BAWSI Girls
Salud por Vida
BAWSI Rollers
Not Sure
Preferred Locations
South Bay (San Jose/Santa Clara)
Gilroy
Peninsula (Mt View to Redwood City)
Santa Cruz
Days Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Fluent Languages
Spanish
Other
REFERENCES - Please list two references
First Reference Name
Company Name
Address
Phone
Relationship
Second Reference Name
Company Name
Address
Phone
Relationship
EMPLOYMENT OR VOLUNTEER EXPERIENCE
Last Experience
Company Name
Job Title
Phone
Address
Start Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
End Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Prior Experience
Company Name
Job Title
Phone
Address
Start Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
End Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
CERTIFICATIONS, SKILLS & INTERESTS
Certifications
CPR
First Aid
Personal Training
Other
Tell us about any special skills, interests, or hobbies
What most excites you about working with girls and/or women?
How did you hear about us?
Upon review of your application a member of the BAWSI staff will be in contact with you
San Jose, California, 95126
408-247-2544
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