VOLUNTEER APPLICATION
YMCA OF THE TRIANGLE
Please indicate your areas of interest:
□ Administration/ Clerical
□ Greeters
□ Tutor/ Mentor
□ Adult Sports
□ Nursery
□ Youth Sports
□ Annual Campaign
□ Maintenance
□ Youth Programs
□ Aquatics
□ Special Events
□ Wellness/ Fitness
□ Caring Network
□ Teens
□ Other: ___________________________________
Name:_____________________________________________________________ Date of Birth:________________YMCA Branch: _______________________
Address: _________________________________________________________City, State, Zip: _______________________________________________________
Email:______________________________________________________________Phone Number: ________________________________________________________
□ Yes
□ No
Have you ever volunteered at the YMCA before?
□ Yes
□ No
Have you ever been convicted of a felony?
□ Yes
□ No
Have you had any criminal convictions for child abuse or sex-related crimes?
Why are you interested in volunteering with the YMCA?
____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
Are you required to volunteer? □ Yes □ No
If yes, how many hours are needed?_______________Deadline: _______________
Name of school/agency/government body requiring community service: _________________________________________________________
Please indicate the days and times you are available to volunteer:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
REFERENCES: List three references that have known you for at least three years whom you authorize us to contact.
References may include supervisors, co-workers, faith leaders, teachers or school counselors. One reference must
be a family member or guardian.
Type
Name
Contact Information
Years Known
Email:
Family
Member
Phone:
Email:
Personal or
Professional
Phone:
Email:
Personal or
Professional
Phone:
Signature of Applicant:____________________________________________________________________________________Date: ___________________________
Parent Signature (if applicant is under 18):___________________________________________________________Date: ___________________________