Ymca Of Burlington And Camden Counties Volunteer Application Template Page 2
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1
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
INTERESTS
Preference/Qualification:
Aquatics
Babysitting
Before & After-School Care
Fitness/Wellness
Fundraising
Maintenance
Sports/Recreation (specify) _____________
Office Help
Seniors
Teach a Skill
Arts/Culture (specify) _________________
Pre-School
Youth
Special Events
Other (specify) _______________________
Preferred Branch:
Mt. Laurel YMCA
Burlington-Riverfront YMCA
AVAILABILITY
Morning (open-12:00pm)
Afternoon (12:00-6:00pm)
Evening (6:00pm-close)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Morning
Morning
Morning
Morning
Morning
Morning
Morning
Afternoon
Afternoon
Afternoon
Afternoon
Afternoon
Afternoon
Afternoon
Evening
Evening
Evening
Evening
Evening
Evening
Evening
REFERENCES
Please provide the name, address and telephone number of three references, one of which must be a family member.
Name
Relationship to You
Address
Phone Number(s)
STATEMENT
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation by the
YMCA or its assigned agencies of all statements contained in this Volunteer Application as it may be necessary to arrive at a
decision with regard to volunteering.
Applicant Signature
Date
Parent Signature (applicant is a minor under 18 years of age)
Date
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
YMCA OF BURLINGTON AND CAMDEN COUNTIES (“YMCA”) considers applicants for all positions without regard to race, color, religion,
creed, marital or domestic partner status, civil union, gender, gender identity or expression, sexual or affectional preference,
national origin, ancestry, age, physical or mental disability, citizenship, veteran status, genetic information, atypical hereditary
or cellular blood trait, or other trait or classification in violation of federal or state discrimination laws (“protected class”).
Further, the YMCA does not discriminate based upon association with a person who is a member of a protected class.
MT. LAUREL YMCA
BURLINGTON-RIVERFRONT YMCA
59 Centerton Rd
302 Commerce Sq Blvd
Mt. Laurel NJ 08054
Burlington NJ 08016
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