Ymca Of Rapid City Volunteer Application Form Page 7

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STATEMENT OF VOLUNTEER APPLICANT
If offered a volunteer position, I agree to abide by the YMCA Code of Conduct.
I understand there is a 6 month term for volunteer service. Volunteer service is solely “at will,” giving the
volunteer or the YMCA the right to terminate volunteer service at any time without liability or obligation.
I understand that there will be training as a volunteer that I must attend.
I certify that the facts contained in this application are true and complete to the best of my knowledge
and understand that, if accepted as a volunteer, falsified statements on this application shall be grounds
for dismissal. I authorize investigation of all statements contained herein and the references and former
employers listed above to give any and all information concerning my previous employment and any
pertinent information they may have, personal and otherwise, and release all parties from liability for any
damage that may result from furnishing same to you. I understand that if selected, my volunteer term
with the YMCA of Rapid City will be contingent upon of a criminal background check and meeting and
maintaining full compliance with the YMCA of Rapid City criminal background standards.
I hereby acknowledge that I have read and understood the above statement and that I voluntarily sign
this application.
Signature of applicant
Date
Parent’s or guardian’s signature
Date
(required if under 18)
YMCA of Rapid City | 815 Kansas City Street | Rapid City, SD 57701
605-718-YMCA | Fax 605-348-6578 |

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