Ymca Of Simcoe/muskoka Volunteer Application printable pdf download

YMCA of Simcoe/Muskoka

VOLUNTEER APPLICATION

Gender: F / M

Title: Mr / Mrs / Ms / Miss

Name (First, Last) :

________________

Address:

City:

Postal Code :

Phone (home):

Phone (other):

Email:

Work / School Name:

Date of Birth:

Emergency Contact:

Phone:

Relation:

Please indicate which day(s) and time(s) you are available:

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

Why would you like to volunteer at the YMCA?

PROGRAM PREFERENCES:

Please prioritize your top three interests (Not all positions are available at all locations)

Connecting members to the YMCA and providing them with knowledge of the YMCA’s

Ambassador

work and impact on the community - available in all departments

Preschool Program, Childminding, Child Program, Youth Program, Youth Special

Child, Youth & Aquatics

Events, Aquatics, Camp Program

Child Care Centre, School-Age Child Care Program, Youth Services, International

Community Services

Program, Host Program, Mentorship/Partnership Program, Newcomer Program,

Employment Services

Facility

Housekeeping/Maintenance

Financial Development

Special Events, Canvasser, Administration, Fundraising

Wellness Centre Trainer, Wellness Centre Host, Group Fitness Instructor,

Fitness & Recreation

Recreational Facilitator

Service & Sales

Member Services

APPLICABLE SKILLS List any appropriate skills - i.e. Certificates held (C.P.R., Aquatics, etc.), Interests and hobbies

CURRENT OR PAST VOLUNTEER EXPERIENCE

AS A YMCA VOLUNTEER

I am committed to supporting the YMCA Mission, Vision and Values

I understand that prior to commencing my volunteer activity at the YMCA:

I am required to provide the YMCA with a current Police Reference Check (PRC)

I will receive from the YMCA specific training for my volunteer role including Policies & Procedures

I agree to participate in performance evaluations and attend professional development courses as required

I certify that the above information is true and complete to the best of my knowledge. I understand the YMCA will be collecting, using and disclosing my personal information

for the sole purpose of managing a volunteer relationship. I consent to the YMCA doing so, and I also consent to the collection and use of my personal information in order to

ensure the safety of YMCA participants, for statistical purposes and to inform me about YMCA programs or services. I consent to the release of my name and address to the

YMCA’s Financial Development Department to further the YMCA’s philanthropic activities.

Name:

Signature:

Date:

Participant

Participant/Guardian