Greenwood Family Ymca Volunteer Application Form printable pdf download

Greenwood Family YMCA

Volunteer Application Form

Name: First _____________ M.I. ___ Last ______________________________

Address: __________________________ City _________ St ____ Zip _______

Phone: Day ____________ Evening _________ E-mail ___________________

Social Security # (required for background check) _______________________

Position for which you are volunteering? _____________________________

What are your reasons for wanting to serve as a volunteer? _____________

________________________________________________________________

What special skills/experience do you bring to this position? ____________

_______________________________________________________________

Do you have any of the following?: (please indicate expiration date)

First Aid Certification _____________________________________________

CPR Certification ________________________________________________

Other Certifications _______________________________________________

Do you have any physical or mental condition that may prevent you from

performing the duties described by YMCA officials?

_____ No

_______ Yes (If yes, please explain)

Except for minor traffic violations, have you ever been convicted of any violation of

the law? ______ No ________ Yes (If yes, please explain)

Character/Professional References (contact information)

_______________________________________________________________

As a condition of volunteering, I give permission for the Greenwood Family YMCA and its assigned

agencies to conduct a background check on me, which may include a review of criminal records

maintained by government agencies. I understand that my position is dependent upon receiving no

inappropriate information on my background check. I am subject to suspension by the YMCA at

anytime in the event of inappropriate behavior. The facts set forth in my application are true and

complete. I understand that if engaged, false statements on this application will be considered

sufficient cause for dismissal.

Applicant Signature _______________________________________ Date __________________

GREENWOOD FAMILY YMCA - STRENGTHENING THE FOUNDATIONS OF COMMUNITY

Greenwood Family Ymca Volunteer Application Form