Volunteer Application
Please complete the form below to become a volunteer at the YMCA of the Twin Tiers.
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Have you ever been convicted of a crime?
*
Yes
No
If yes, please give details
*
Are you currently listed on any state sex offender registry levels 1, 2, or 3?
*
Yes
No
Which branch(es) would you like to work in?
*
Olean Branch
Olean Early Learning Center
JCC Early Learning Center
Limestone Family Play Zone
Bradford Branch
Bradford Early Learning Center
Shinglehouse Early Learning Center
Wellsville Branch
Wellsville Early Learning Center
Other
Volunteer Interest Areas
*
Adult Sports
Child care
Aquatics
Membership Desk
Fitness Programs
Wellness Center
Pre-School Programs
Special Events
Youth & Family Programs
Coaching
Teen Activities
Office Duties
Maintenance
Other
Start date availability
*
-
Month
-
Day
Year
Hours available to volunteer
*
Rows
Start
End
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred number of hours to volunteer each week
*
My reason for volunteering?
*
Are there any special considerations or restrictions on your volunteering? Please type yes or no. If yes, explain.
*
REFERENCES: Give the names of three references, 18 years or older, whom you have known at least one year.
*
Rows
Name
Address
Phone
Years known
1. Reference 1
2. Reference 2
3. Family Member
Signature: I hereby acknowledge that I have read and understood the above statements, and that I voluntarily sign this application.
Today's date
-
Month
-
Day
Year
Date
Submit
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