Collegiate YMCA
A Branch of the YMCA of Greater Pittsburgh
Volunteer Application
Personal Information
Name ______________________________________________________________ Today's Date _____________________
Campus/local Address ________________________________City/State __________________________ Zip ___________
Permanent Address ___________________________________City/State __________________________ Zip ___________
Home Phone _________________________ Work/Cell _______________________ Email __________________________
How did you hear about this volunteer opportunity? __________________________________________________________
Volunteer Interest(s) ___________________________________________________________________________________
Community Service Requirement? YES
NO
Number of hours needed __________ Deadline ___________
Are you a YMCA member?
YES
NO
If yes, which branch? ________________________________
Are you a YMCA donor?
YES
NO
Availability
Please indicate the hours you are available to volunteer:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many days a week would you like to volunteer? ________ Comments _______________________________________
Employment Information
Please indicate if you are retired or unemployed. NOTE: Work experience is not a requirement to volunteer.
EMPLOYER
TITLE
SUPERVISOR
PHONE
DATES OF EMPLOYMENT
Volunteer Information
Please list current or previous volunteer experience:
DATES OF
ORGANIZATION
ROLE/EXPERIENCE
SUPERVISOR
PHONE
VOLUNTEERING?
Academic Information
NOTE: Formal education is not a requirement to volunteer. We welcome experience of all kinds.
NAME OF SCHOOL
LOCATION
COURSE OF STUDY/DEGREE
LEVEL COMPLETED
Are you over 18?
YES
NO