Volunteer Application Form - Ymca Campbellton Page 2
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22. Name of reference: ___________________________________________________________________________________________
Email:
Tel:
Relationship to you:
How long have you known this person?
3. Name of reference: ___________________________________________________________________________________________
Email:
Tel:
Relationship to you:
How long have you known this person?
Agreement:
I ________________________________________ understand that prior to commencing and during any volunteer work within the
YMCA of Greater Moncton:
-
The YMCA of Greater Moncton will contact references provided in this application form.
-
I am required to provide the YMCA with a Vulnerable Sector Check & Criminal Record Check (18yrs and older) and or any
required certifications for the role.
-
I will receive a detailed offer letter describing my responsibilities and expectations, in which I will be held accountable for.
-
I am required to participate in specific training requirements to my placement and communicate any availability changes.
-
I am required to keep any mandatory certifications for my role up to date.
Volunteer Applicant Signature: ___________________________________________
Email: ___________________________________
Youth Consent:
The YMCA of Greater Moncton recognizes the value of youth performing volunteer work in our community. It is the policy of the YMCA
that youth under the age of 19 has signed consent by a parent or guardian prior to beginning their volunteer duties.
I, the undersigned, give parental or guardianship consent to the above named applicant to provide permission to the YMCA to
communicate with the applicant directly and for them to perform volunteer work if successful in this role.
Youth Volunteer Signature: _______________________________________________
Date: _________________________________
Parent/Guardian Signature: _______________________________________________
Date: _________________________________
Please print name: ___________________________________________
P/G Email: ________________________________________
Parent/Guardian Email: _______________________________________________________________
For Office Use Only
1.
Application Received: ________________________________________________ (Date)
2.
Referred to: _______________________________________________ (Name)
__________________________________ (Date)
3.
Interview/References completed _____________________________________________ (Date)
4.
Required forms to be attached for all volunteers:
1) 3 professional references (and Resume if supplied)
2) Certifications (if applicable for volunteer position)
3) Interview
5.
Title of Volunteer Position: ___________________________________________________________________________________
6.
Start Date: _____________________________________
End Date (if applicable): _____________________________________
Modified May 2016
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