VOLUNTEER APPLICATION
The Barber National Institute welcomes volunteers in a variety of programs and activities in our organization. We also offer placement for those looking to fulfill community service hours. To apply, fill out the application below. We no longer accept paper applications and have provided a kiosk available in our North Lobby for those who do not have a computer readily available. Any questions can be directed to the Governance Risk Management and Compliance Office.

APPLICANT MUST BE AGE 18 OR OVER

Clearances: State Police, Child Line/DPW, FBI and others may be requested depending on the program of interest

GENERAL
Name:
Home Address:
Email Address: Contact Number:
 
Emergency Contact Person: Relationship: Contact Number:
**Please complete the sections below**
VOLUNTEER
Reason for Volunteering:
Number of Hours Requested: Type of Hours: Observe: Provide Service:
Days/Times Volunteer is Available:
Requested Start Date: Expected End Date:
Program of Interest if known:
IIf other, please explain
Do you have your clearances:
Type Full Name  
Today's Date  
By checking this box, I hereby certify that this information is accurate and complete. I Agree