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LET'S WORK
TOGETHER

Volunteer Application Form
First Name: (*)
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Middle Name:
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Last Name: (*)
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Email:
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Phone Number: (555-555-5555) (*)
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Alternate Number:
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Where do you wish to volunteer?
(check all that apply) (*)
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Present Address: (*)
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City: (*)
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Zip Code: (*)
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Organizations to which you belong:
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Interests, Hobbies, Skills:
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Why do you want to be a
YMCA Vounteer?:
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What type of volunteer work are you
interested in? Check all that apply. (*)
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List present and previous volunteer
experience:
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Days and times you are available to volunteer:
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Times Available:
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Times Available:
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Times Available:
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Times Available:
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Times Available:
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Times Available:
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Previous work experience:
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List any current certifications you hold:
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Emergency Contact Information

Name of person to contact
in case of emergency: (*)
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Relationship: (*)
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Phone Number: (*)
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Criminal Conviction History Consent Form As a prospective or current volunteer, I understand that it is the responsibility of the Saginaw YMCA to secure criminal conviction history information as part of the screening process. I also understand that for as long as I am volunteering at the YMCA, periodic or annual checks may be done at the discretion of the YMCA.

YMCA Audio - recorded 08-31-11

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