Ymca Volunteer Application Form

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Thank you for considering the YMCA as a place to donate your time and talents. Volunteers are vital to the
YMCA. Without them, we wouldn’t be able to meet the needs of the kids, families, and adults who live in
the Rome-Floyd County community.
At the YMCA, we know that your time and talent are precious, and we want every minute you spend with
us to be worthwhile. That’s why we’re asking you to take a few minutes to fill out this application. It will
help us begin to make the right match between your skills and interests and the opportunities available.
You will find questions on this form about your background, former residences, places of employment, and
so on. We hope you’ll understand that, unfortunately, there are a few people who apply for volunteer jobs
at the YMCA for the wrong reasons. The YMCA, however, makes an active effort to prevent abuse. So
even though we may know you well, we reserve the right to conduct background and reference checks on
all volunteers. It’s just one of the many ways we help protect children and other vulnerable people served
by the YMCA.
Thanks for your cooperation in this effort and your interest in the YMCA. If you have any questions about
this or any part of our application process, please contact (name, title, and phone number of person).
Today’s Date
(Month/Day/Year)
Mr.
Mrs.
Miss
Ms.
Rev.
Dr.
Other
Name
(Last)
(First)
(Middle)
Address
City
State
Zip
Phone: Day
Evening
How long have you been at this address?
Social Security Number
Are you 18 years of age or over?
Yes
No (If no, please have your parent or guardian sign the application, too.)
Emergency Contact
Name
(Last)
(First)
(Middle)
Address
City
State
Zip
Phone: Day
Evening

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