Girls on the Run of Dayton
Volunteer Application and Background Check Form
Your Name (required)
Your address (required)
Date of Birth (required)
Preferred Phone (required)
Gender male female
White Black Asian/Pacific Islander American Indian/Alaskan Native Other
Are you currently CPR certified? yes no
If yes, expiration date:
If not, will you be certified before the start of the season?
Are you currently First Aid certified? yes no
How did you hear about Girls on the Run of Dayton?
Website Facebook Friend School Employer Other
In what areas are you interested in volunteering?
Board Coach Office/Clerical Running Buddy Other: Please specify
If you are signing up to be a Running Buddy and have a preference to run with a girl at a specific school, which school do you prefer?
No School Preference Miami County Greene County Montgomery County Specific School: Please specify
As a Girls on the Run policy, coaches must be drug-free and tobacco-free and must not consume excessive amounts of alcohol. Girls on the Run of Dayton volunteers will be subject to criminal background checks.
By signing below, I solemnly swear that all of the information above is correct to my knowledge, and I authorize Girls on the Run of Dayton to perform a criminal history background check for volunteer or employment purposes.
THANK YOU for your interest in volunteering with Girls on the Run of Dayton!
© 2013 Girls on the Run of Dayton • by MWN