YMCA of Honolulu Volunteer Application

YMCA of Honolulu Volunteer Application
WE MAKE AN ACTIVE EFFORT TO PREVENT CHILD ABUSE!

Some examples may include, but are not limited to:
♦ A thorough background check, including but not limited to, criminal background checks, references of past employers, personal references, the military, educational institutions, volunteer organizations, civic groups, personal character, and extra-curricular activities.
♦ The YMCA does not condone child abusers and this YMCA will be seeking information in an applicant’s background related to child abuse.
♦ Allegations or suspicions of child abuse are taken seriously and will be reported to the State for investigation.
♦ Programs are structured so that no staff member is left alone with children.
♦ Periodic interviews/evaluations are conducted with children and parents about day to day experiences, encouraging reports of anything out of the ordinary.♦ Staff will not fraternize with children outside the programs, including baby-sitting or inviting children home.
♦ Testing for illegal substances.
♦ Psychological testing.

The YMCA’s goals for child care programs are:
♦ To support and strengthen the family unit.
♦ To help children develop to their fullest potential.
♦ To deliver the program in a positive YMCA environment of safety, support and care.
PLEASE INITIAL EACH LINE AN AGREEMENT WITH THE STATEMENT:
Initial - I understand that this application is only valid for the position applied for at present and that the YMCA is not obligated to retain or consider this application for future openings.
Initial – I understand upon contingent offer of a volunteer position, the YMCA of Honolulu will conduct a criminal background check prior to and during my time as a volunteer, as well as a child abuse registry check and I am subject to random, accident follow-up, and for cause drug testing.
Initial – I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation or omission of facts called for will result in immediate termination from volunteering or removal of my application from consideration. I authorize the YMCA to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience releasing all parties from any liability arising there from.
Initial – I am not a child molester, abuser or pedophile; and have not been convicted of being a molester or abuser. My signature below certifies that I have read and understand the foregoing and to the best of my knowledge and belief, the information on this form is true and correct.
My signature below also certifies that I agree to be bound by the terms and conditions stated in this application. This application contains all the understandings and agreements between me and the YMCA concerning the nature of my volunteering, if any, by the YMCA and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, statements, representations and promises, express or implied, between me and the YMCA. I understand and agree that, except as noted above, no person who is either an agent or employee of the YMCA may modify, delete, vary or contradict, whether orally or in writing, the terms and conditions set forth herein.
Volunteer's Full Name
Volunteer Signature
Date

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Please read the Volunteer Handbook of the YMCA of Honolulu by clicking here.

I have received and read my copy of the Volunteer Handbook of the YMCA of Honolulu and agree to uphold and abide by the policies and operating procedure stated therein, as well as all other policies, rules and regulations of the YMCA now in effort or hereafter established.
Volunteer Handbook Acknowledgment
Volunteer’s Signature
Date

MonthDayYear
Date
Code of Conduct Acknowledgment
Please read the Code of Conduct by clicking here.

I understand that any violation of the Code of Conduct may result in immediate release from volunteering at the YMCA of Honolulu.
Volunteer Signature
Date

MonthDayYear
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Volunteer Acknowledgement – Adult Volunteer
I am at least 18 years of age. I understand as a volunteer, that I am not an employee of the YMCA Honolulu and understand and agree that I will not receive any compensation or benefit nor be eligible for any coverage under the Hawaii Workers Compensation Laws.

I have carefully read the foregoing statement, understand its contents, and acknowledge that I am solely responsible for any injuries incurred while volunteering with the YMCA of Honolulu.
Volunteer Name
Signature of Volunteer
Date

MonthDayYear
Date
Emergency Contact Name
Emergency Contact Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

YMCA of Honolulu Volunteer Application

PLEASE INITIAL EACH LINE AN AGREEMENT WITH THE STATEMENT:

Volunteer Handbook Acknowledgment

Code of Conduct Acknowledgment

Volunteer Acknowledgement – Adult Volunteer