Indiana County Ymca Volunteer Application

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Indiana County YMCA
Volunteer Application
Today’s Date: ______/______/__________
Name: _______________________________________
Date of Birth: ____________________
Address: ____________________________________________________________________________
Email: ______________________________________________
Phone: _________________________________
Are you currently a college student?
Yes
No
If yes, where? ____________________________________
If yes, what is your major? ______________________ If no, who is your current employer? _____________________
Have you ever volunteered at a YMCA?
Yes
No
If yes, in what capacity? ____________________________________ When: _______________________________
References: (include no more than one family member)
Type:
Name:
Phone #:
How long known:
Employment
Type:
Name:
Employment
Type:
Name:
Employment
Type:
Name:
Personal
Type:
Name:
Personal
What interests you?
Spending time with child/family (parent volunteer)
Giving back to the community
Meeting people
Other: _______________________________________
Volunteering is a requirement (how many hours? ________)
___ Court ordered ___ School
___ Other
YMCA of Indiana County, 60 N. Ben Franklin Rd., Indiana PA 15701
724-463-YMCA

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