Volunteer Application for YMCAs of Cambridge and Kitchener-Waterloo

Day Camp Cleaning Team Member

For YMCAs of Cambridge & Kitchener-Waterloo
Your Name *

First Name Last Name
Are you a current volunteer with the YMCA of CKW at any location?

Yes No
Your Date of Birth *

Year Month Day
Your Address *

Street Address

Street Address Line 2

City Province

Postal Code
Your Phone Number *

Area Code Phone Number
Your Email Address *
example@example.com
Which locations would you be interested in supporting this Summer? *

A.R. Kaufman YMCA Stork Family YMCA Chaplin Family YMCA Shades Mills Camp Ki-Wa-Y Camp Heidelberg
Please complete the information for 3 References we can contact. These referees should be able to speak to your ability to complete this role. It can be extended family members, teachers, co-workers, leaders, etc.
Reference 1 Name *

First Name Last Name
Reference 1 Email *
example@example.com
Reference 2 Name *

First Name Last Name
Reference 2 Email *
example@example.com
Reference 3 Name *

First Name Last Name
Reference 3 Email *
example@example.com
Acknowledgement and Agreement

I am committed to supporting the YMCAs of Cambridge and Kitchener-Waterloo Mission, Vision and Values. In addition, I understand that prior to commencing my volunteer activities at the YMCAs of Cambridge and Kitchener-Waterloo:
- I will be required to submit a current and satisfactory criminal record (if I am over 18 year of age)
- My references on this application will be contacted
- I will receive specific training for my volunteer role
- I will be trained on the applicable policies and procedures for the YMCAs of Cambridge and Kitchener-Waterloo volunteers
Approval *

I acknowledge and agree to the statement above.
Should be Empty:

Day Camp Cleaning Team Member