Ymca Of Rapid City Volunteer Application Form Page 5

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YMCA OF RAPID CITY VOLUNTEER APPLICATION
Name
Today’s Date
Address
City
State
Zip
Length of time at current address
Are you over the age of 18?
Home Phone
Cell Phone
Occupation
Email Address
Employer
Work Phone
Referred by
Can you be contacted at work?
What is the length of time at your current employment?
Work/Volunteer History
List three most recent employment/volunteer positions.
1. Company Name
Supervisor’s Name
Position
Phone
2. Company Name
Supervisor’s Name
Position
Phone
3. Company Name
Supervisor’s Name
Position
Phone
References
Please provide complete information for three persons, who have knowledge of your character,
experience, and ability – one of them being family and one being work or professional.
1. Name
Nature of Relationship
Home phone
Work phone
2. Name
Nature of Relationship
Home phone
Work phone
3. Name
Nature of Relationship
Home phone
Work phone
YMCA of Rapid City | 815 Kansas City Street | Rapid City, SD 57701
605-718-YMCA | Fax 605-348-6578 |

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