Volunteer Application Form - Ymca Campbellton
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2YMCA Campbellton
44 Salmon Blvd., PO Box 184
Campbellton, NB E3N 3G1
Tel.: (506) 753-3491
Email:
Volunteer Application
Thank you for your interest in volunteering with YMCA Campbellton. Please complete the application in full.
Personal Information:
Name: ___________________________________________________________________ Date: _______________________________
Full Address: ______________________________________________________________
Tel: ________________________________
Please indicate your age group (optional):
Youth (13-18yrs)
Adult (19-30yrs)
Adult (31-60 yrs)
Senior (60+)
Please list any or all languages you speak:
______________________________________________________________________________________________________________
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Student Placement Requirement
Yes
No
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Are you a member of the YMCA?
Yes
No
Volunteer Information:
Please note which opportunity you have interest and/or qualifications:
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Health & Wellness Center
Group Fitness Instructor*
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Youth (Program Monitor/Tutor)
Philanthropy (Fundraising/Storytelling)
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Aquatics*
Community Garden
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Membership Welcome Desk
Special Events (Fundraising/Awareness)
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Licensed Childcare (Pre and Afterschool)
Day Camp
*Requires certifications
Qualifications and Experience: ______________________________________________________________________________________
_______________________________________________________________________________________________________________
Availability to Volunteer:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time
How did you hear about volunteer opportunities at the YMCA? ___________________________________________________________
Previous or current volunteer experience: ____________________________________________________________________________
References:
Please list three professional references (i.e. supervisory role) which can be employment or volunteer based – examples include coaches
or teachers. No current YMCA employee or relative can be listed as a reference.
1. Name of reference:
_________________________________________________________________________________________
Email:
Tel:
Relationship to you:
How long have you known this person?
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