Volunteer Application Form - Greater Wichita Ymca printable pdf download

CHANGE LIVES

CHANGE YOUR

COMMUNITY

Volunteer Application

GREATER WICHITA YMCA

PERSONAL INFORMATION

Full Legal Name: ___________________________________________ Preferred name: __________________

First, Middle, Last

Address: ____________________________________________________________________________________

Number & Street

Apt #

City

State

Postal Code

Phone: (____)______________ E-mail: __________________________________________________________

What is the best method to contact you?

c Email

c Call

c Text

c Mail

Are you a current Greater Wichita YMCA member? c Yes c No

Location: A | D | E | ED | N | NW | S | W

Employer/School*: __________________________________ Occupation: _____________________________

Language(s) spoken: _____________________

*Some employers have time/financial match programs.

Emergency Contact Name: ________________________ Phone: ______________ Relationship: _________

Applicant Identification (Optional):

1. Gender: c M c F

2. Ethnicity:

c Hispanic c Non-Hispanic

3. Race (Mark only one): c White

c Black/African American

c Asian

c American Indian/Alaskan Native

c Native Hawaiian/Pacific Islander c Asian & White

c Black/African American & White

c American Indian or Alaska Native & Black/African American

c Other Multi Racial __________________

VOLUNTEER INFORMATION

Have you ever volunteered at a YMCA? c Yes

c No If yes, in what capacity? __________________________

Are you required to volunteer? c Yes

c No

If yes: # of hours needed ____, Deadline ________________

Name of school/agency/government body requiring community service: _____________________________________

Preferred Volunteer Location(s):

A | D | E | ED | N | NW | S | W | Child Care/Camp | Community Development | Metro

Skills/Interests - I enjoy (mark all that apply):

____ talking on the phone

____ sports activities

____ answering phones/making calls

____ motivating/encouraging others

____ talking to small groups

____ running/triathlons

____ reading to children

____ recruiting others

____ teaching

____ team building

____ meeting new people

____ accounting

____ mentoring kids or teens

____ clerical/office work

____ connecting people

____ fundraising

____ coordinating and organizing

____ working with kids

____ decorating

____ working with teens

____ organizing events or planning parties

____ working with adults

____ doing crafts or DIY projects

____ working with seniors

____ painting

I prefer to do activities where I am:

____ gardening or working outdoors

____ mostly sitting

____ cooking

____ moving a lot

I am volunteering as a part of a group: c Yes

c No

Group/Org Name: ________________________________

May we contact you with future volunteer opportunities? c Yes

c No

AVAILABILITY: c Ongoing

c One-time event

c Call as needed

c Seasonal

c Other ______________________________________________________________

LIFECHANGING | GREATER WICHITA YMCA | |

Volunteer Application Form - Greater Wichita Ymca

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