Volunteer Application

First Name *

Applicant's first legal name

Last Name *

Applicant's Legal Last Name

Date of Birth *

Month

Day

Year

Street Address *

City *

State *

ZIP Code *

Phone Number *

Email *

Days and Hours Available *

Date Available to Begin *

Month

Day

Year

Areas of Interest *

Have you ever volunteered at the YMCA before? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Have you ever 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 you answered yes, what agency or organization is requiring your community service?

How many hours of service are you searching for?

Personal Reference *

Family Reference Contact Information *

Professional Reference *

Professional Reference Contact Information *

By signing my name below, I hereby authorize and consent to all background screening required for volunteering with the Alamance County Community YMCA. *

Alamance County Community YMCA

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