Ymca Of Burlington And Camden Counties Volunteer Application Template
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2YMCA OF BURLINGTON AND CAMDEN COUNTIES
VOLUNTEER APPLICATION
856.231.9622 (YMCA)
MT. LAUREL YMCA 59 Centerton Rd Mt Laurel NJ 08054
BURLINGTON-RIVERFRONT YMCA 302 Commerce Sq Blvd Burlington NJ 08016
The Y is a nonprofit like no other. Thank YOU for taking an active role in strengthening your community!
Thank you for considering a volunteer opportunity with the YMCA of Burlington and Camden Counties. Since
1869, our cause has remained the same: to strengthen community through Youth Development, Healthy Living
and Social Responsibility. As a volunteer, you will strengthen community, giving children and families from all
walks of life the resources and support they need to be healthy, confident, connected and secure.
PERSONAL INFORMATION
Last Name
First Name
Middle Initial
Street Address
City
State
Zip
Home Phone (
)
Cell (
)
Email
SSN
|
|
Are you now, or have you ever been, a YMCA Member?
Yes
No
Emergency Contact
Home Phone (
)
Cell (
)
If you need a record of your volunteer hours, please provide your Social Security Number
SSN
|
|
EMPLOYER/SCHOOL INFORMATION
Employed
Student
Other (describe)
Company/Organization/Institution
May we contact them to recognize your efforts?
Yes
No
Street Address
City
State
Zip
PERSONAL BACKGROUND INFORMATION
Educational Background: Grade Level/Degree Attained, Course of Study, Major, Skills, Certifications, etc.
Volunteer Experience: Provided services, hours, financial assistance to what and where, etc.
Why are you interested in volunteering at the YMCA of Burlington & Camden Counties?
Have you been convicted of, plead guilty or no contest to, any crime or felony?
Yes
No
Yes
No
I understand that every volunteer, who is at least 18 years of age, must submit to a background check and/or fingerprinting as required.
Conviction will not necessarily disqualify an applicant. If you accept a volunteer assignment with the YMCA, you must immediately disclose any
conviction, plea of guilty or no contest to the Human Resources Department.
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