Princeton Family Ymca Volunteer Application (Page 2 of 2) in pdf

I am particularly interested in work with these groups: (Mark all that you like.)

□ Infants and toddlers

□ Pre- and young teens (11-14)

□ Adults

□ Preschoolers (3-5)

□ Older teens (15-18)

□ Older Adults

□ Elementary-age children (6-10)

□ College-aged young adults

□ Families

I would be interested in hearing more about work in support of these programs and areas of responsibility

within the YMCA: (Mark all that you like.)

□ Health and Fitness (youth health, aerobics)

□ Aquatics (special needs swimming classes)

□ Member Services (front desk, locker room)

□ Special Events (Halloween at the Y, 5K Run, etc.)

□ Sports (coaching or instructing: soccer, basketball)

□ Child Care (infant, preschool, after-school)

□ Fundraising (annual campaign for scholarships)

□ Communications and Marketing

□ Short-term projects (Holiday camp)

□ Community development

□ Office support work

(youth mentoring, job training)

List three (3) people whom you have known for at least two years and who know you well enough to

provide us with a reference. (Providing this information means that you give this organization permission

to contact the references listed.)

Reference Name

Phone #

Relationship

Applicant’s Acknowledgment

This application shall be considered active for no more than 30 days. After that time, applicants will be required to resubmit a

completed application. The applicant understands that neither this document nor any offer of assignment from this employer

constitutes an employment contract.

I certify that the answers given in this application are true and complete to the best of my knowledge. I authorize investigation into

all statements I have made on this application as may be necessary for reaching an assignment decision.

In the event I am assigned, I understand that any false or misleading information I knowingly provided in my application or

interview(s) may result in discharge and/or legal action.

I understand also that if I am assigned, I am required to abide by all rules and regulations of the employer.

The assignment relationship with the Family YMCA is “at will.” This means that assignment may be terminated at the will of either

party, with or without cause, and without the requirement of prior notice.

I understand that all volunteers will be subjected to a Criminal Background Check ($5 fee payable by the volunteer for check).

I certify that I have read, fully understand and accept all terms of the Applicant Statement.

Applicant Signature________________________________________________ Date ________________

Please return this form to:

Denise Soto

Princeton Family YMCA

Phone (609)497-9622 x209

Volunteer Coordinator

59 Paul Robeson Place

Fax (609)497-9031

Princeton, NJ 08540

Page 2 of 2

Princeton Family Ymca Volunteer Application Page 2

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