VOLUNTEER APPLICATION FORM
Thank you for considering a YMCA volunteer opportunity. The YMCA believes that people enrich their own lives when they enrich
the lives of others. All YMCA endeavors involve a partnership of volunteer and sta teams dedicated to creating healthy communi-
ties where individuals and families have opportunities to reach their potential.
GENERAL INFORMATION
Full Name:
Address: Apt / Unit #
City: Province:
Telephone #: Mobile #:
Email Address: DOB:
Emergency Contact: Relationship: Contact #
Are you currently a member of the YMCA? Yes No
Please check how you learned about YMCA Volunteer Opportunities.
Member YMCA sta/volunteer Online Other
VOLUNTEER AVAILABILITY
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
___ - ___ am ___ - ___ am ___ - ___ am ___ - ___ am ___ - ___ am ___ - ___ am ___ - ___ am
___ - ___ pm ___ - ___ pm ___ - ___ pm ___ - ___ pm ___ - ___ pm ___ - ___ pm ___ - ___ pm
Select which location you would like to volunteer at:
YMCA Health and Fitness Branch: Hamilton Downtown Les Chater
(Hamilton Mountain)
Ron Edwards
(Burlington)
Flamborough Brantford
Employment Training and Settlement: Hamilton Downtown Burlington Brantford
Preschool or School Age Center: Hamilton Burlington Brantford
YMCA Wanakita
(In Haliburton)
Select which type of volunteer position you are interested in:
Program:
Child and youth program volunteer, Homework tutor, Group Fitness Instructor, Library Help, Youth Night Volunteer,
Aquatic Assistant etc.
Special Events:
Fundraising, Administrative tasks, Day of Set up/Clean Up
Customer Service:
Health and Wellness Host, Membership Host, YMCA Ambassador
Board/Advisory Member:
Provide advice and feedback to the YMCA.
Parent Advisory Member:
Provide advice and feedback from a parent’s perspective.
40 hour Volunteer
Please share some of your personal reasons for becoming a YMCA volunteer and what you hope to gain from this experience.
FOR OFFICE USE ONLY
Date received: Initials:
Date received by Volunteer Coordinator:
Notes:
Current or Past Work, Volunteer or Education Experience (related or other)
R
eferences
Please provide 3 references. Only one reference may be a family member. Examples of other acceptable references include a
coworker, supervisor, teacher, coach, etc.
Name Number Relationship
COMMUNITY SERVICE REQUIREMENT (STUDENTS ONLY)
Name of School:
School Contact Name/Contact Number:
Hours needed to meet requirement: Deadline to meet requirement:
Completion Verication Letter Required?
Yes No
Signature of Student: Date:
Signature of Parent/Guardian
(if under 18 years): Date:
A current criminal reference check issued within 6 months of the start of a volunteer placement is a condition of
volunteering with the YMCA. Volunteer positions in direct service delivery to children and/or vulnerable persons will also
require a Vulnerable Sector Search. As per YMCA policy, the YMCA also reserves the right to request future subsequent
reports. Subsequent report requests will be paid for by the YMCA.
Signature of Applicant: Date:
Signature of Parent/Guardian: Date:
VOLUNTEER APPLICATION FORM continued
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