Great Futures Start Here.

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Name
Primary Phone
Email Address
Address
Date of Residency
Race
Gender
DOB
Position Applying For
Site Preferred to work at
- Booker T Community Center (Staunton Elementary)
- BGC Kidz Zone (Waynesboro)
Previous Employment Information
Highest Level of Education
Other Skills / Certifications?
Interest, Hobbies, and Talents you can share with members
2 Emergency Contacts
3 (Non-Related) References
By E-signing here, you verify that all information filled out is accurate.
By E-signing here, you give Boys & Girls Club of Waynesboro, Staunton, and Augusta County the right to do a background check.
By E-signing here, you understand that the Boys & Girls Club of Waynesboro, Staunton, and Augusta County is an alcohol, drug, tobacco, and vape free organization and these substances are NOT allowed on site premises.
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Name
Primary Phone
Email Address
Address
Date of Residency
Race
Gender
DOB
Position Applying For
Previous Employment Information
Highest Level of Education
Other Skills / Certifications?
What are ways you can impact Teens?
Interests, Hobbies, and Talents you can share with members
2 Emergency Contacts
3 (Non-Related) References
By E-signing here, you verify that all information filled out is accurate.
By E-signing here, you give Boys & Girls Club of Waynesboro, Staunton, and Augusta County the right to conduct a background check.
By E-signing here, you understand that the Boys & Girls Club of Waynesboro, Staunton, and Augusta County is an alcohol, drug, tobacco, and vape free organization and these substances are NOT allowed on site premises.
What is a strategy you would use to get teens involved in programming?
Send Message

Thank you for contacting us. We will get back to you as soon as possible

Oops. An error occurred.
Click here to try again.