Volunteer Application Form Ymca Of San Francisco Page 2
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2Special Certificates/Licenses/Qualifications/Degrees, any other relevant skills or experience:
______________________________________________________________________________________
______________________________________________________________________________________
Are you currently First Aid/CPR certified?
Y
N
If yes, please submit a copy of your card with this application
References
(2 Personal and 2 Professional)
REQUIRED
NOTE: The YMCA checks references on all volunteers, as such the following information is required of all applicants.
PERSONAL REFERENCES
RELATIONSHIP TO
NAME
PHONE
E-MAIL
YEARS KNOWN
YOU?
PROFESSIONAL REFERENCES
RELATIONSHIP TO
NAME
PHONE
E-MAIL
YEARS KNOWN
YOU?
Agreement
I hereby certify that all answers and statements made on this application are complete and true to the best of my knowledge. I understand
that any misleading, misrepresentation and/or omission of information will cause this application to be rejected and will be grounds for
discharge.
I further understand that final volunteerism is based on completion of all volunteer screening requirements and procedures,
including interview(s), reference checks, verifications, physical examination and fingerprinting.
I authorize all organizations and persons named above to give information about me and I hereby release them of all liability.
If I am engaged as a YMCA Volunteer, I agree to observe all rules, regulations, policies and procedures as they relate to the YMCA of San
Francisco employees at all times.
I also understand that, although I may be volunteering for a particular position and shift, it may be
necessary to accept different assignments, schedules or hours.
I hereby certify that all of the facts set forth in my application are true and complete. I understand that if I am engaged as a YMCA Volunteer,
false information on this form or failure to disclose material facts will be considered grounds for discharge. I further understand that my
services are on a volunteer basis for which no compensation is provided, and that these services are at-will and may be terminated at any time
by either party.
Signature:
Date:
____________________________________________
___________________
Signature of Parent or Guardian:
Date:
__________________________
___________________
Parent/Guardian signature is required for applicants under 18 years old.
Please return this completed application form to your YMCA branch.
HR/VOL 11/2014
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