Volunteer Interest Form

"*" indicates required fields


Are you between 13 and 17 years of age?*

Please select all volunteer opportunities that interest you from the list below or select "Other" to add your specific interest:*

Have you ever pled guilty to, been convicted of, been released without imposition of sentence, or recieved pretrial diversion for any crime? (Felony or Misdemeanor)*
Are you performing work as part of a diversion program?*
Will you agree to a voluntary background check?*
Do you have any allergies, medical conditions, or physical limitations that Bethany Village should be aware of in the event of an emergency?