Forms and Applications

Black Men of Greater Springfield Forms and Applications

BMOGS Scholarship Application

BMOGS Membership Application

Name*

Address*

Message*

Email Address*

Educational Background*

Career/Occupation*

Please list/describe any prior/related work experience (i.e. name of employer, length of employment, title or job description).

Hobbies and Personal Interests

Please tell us why you believe your membership in this organization will benefit the youth we serve.*

If applicable, please include any other experiences that you may have working with youth.

Please tell us how many hours you are willing to donate on any given weekend or weekday. Please include if your contribution would be in the form of time, skills, mechanics, administrative duties or committee involvement. *

A $50 non-refundable application fee is required. Please check this box to signify that you agree to pay the fee and to attest that the information provided is accurate. Thank you.*

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BMOGS WEB DuBois Academy Application

Preview the BMOGS WEB DuBois Academy Job Application

Name*

Address*

Phone*

Email Address*

Position Desired *

( i.e. program director, assistant director, teacher, counselor)

Qualifications and Skills*

Please tell us about your educational background and describe some of the skills you have that will help you in this job.

Professional/Personal References*

Please provide the names, contact information, and your relationship with three people we may contact as references.

Other Considerations

Please describe any other matters that you would like to have considered with your application.

Do you consent to a CORI background check? *

YesNo

Covid Vaccination *

We ask that you disclose whether or not you have been vaccinated against COVID-19 by typing YES or NO below. If yes, we may ask for a copy of your vaccination card.

Please tell us how you learned about this work opportunity.

Please check the box below to attest that the information you have provided is true and accurate.*

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