Fillable Missoula Family Ymca Youth Sports Volunteer Form printable pdf download

MISSOULA FAMILY YMCA

Youth Sports Volunteer Form

Thank you for your willingness to be a volunteer in the Missoula Family YMCA Youth

Sports Programs!

Last Name:___________________________________________

First Name:___________________________________________

Middle Initial:__________

Address:______________________________________________________

City:_____________________

State:________

Zip Code:____________________

Primary Telephone Number:____________________________________

Other/Work Telephone Number:___________________________________

Email address:_____________________________________________________________________________________ (We do not distribute or sell email addresses)

Date of Birth:_______/_______/__________

Social Security Number (required):_________________________________________

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Have you ever volunteered or been employed by the Missoula Family YMCA?

Yes

What days and hours are you available to volunteer? Days___________________________ Hours:__________________________________

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Have you ever been convicted of a crime?

Yes; Please explain:___________________________________________________

Please indicate your volunteer preferences:

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Program:

Boys

Girls

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Preference:

Coaching

Officiating/Refereeing

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Coaching:

Boys

Girls

Neighborhood/Area School:____________________________

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Do you have a son/daughter on the team?

Yes; Child’s Name:________________________________

Soccer: (Check)

<Fall>

Grade:_____________________________

Basketball:

Grade: _____________________________

Volleyball: (Check)

Grade (Feb.)>

Grade (March)>

Others: (Check)

<Other:_______________________________________>

Coaching Background:

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Yes

Have you coached this sport?

Yes

Have you played this sport?

Any additional information you’d like to share:_____________________________________________________

Please list three references:

Name:________________________________________________ Telephone Number:_____________________

________I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation, or omission of facts called

for will result in immediate termination from volunteer employment or removal of my application for consideration. I authorize the Missoula Family YMCA to

secure information about my experience with current and former employers, education institutions and agencies, and for those parties to provide information

concerning my experience releasing all parties from any liability arising there from.

By entering my name and initials on this form, I certify that I have read and understand the foregoing and to the best of my knowledge and belief, the

information in this application is true and correct. I understand I am subject to a background check and current policies and procedures.

Signature:___________________________________________________ Date:__________/__________/___________

YMCA Official Use Only

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Yes; Date Complete:_____/_____/_____ Staff Initials:____________