Ann Arbor Y - Volunteer Intake Form

Ann Arbor Y - Volunteer Intake Form

At the Ann Arbor Y, we know that lasting personal and social change comes about when we all work together. That’s why at the Ann Arbor Y, strengthening community is our cause. We are committed to strengthening our community through Youth Development, Healthy Living, and Social Responsibility. Every day, we work side-by-side with our neighbors to make sure that everyone, regardless of age, income or background, has the opportunity to learn, grow and thrive. We cannot accomplish this without volunteers. Thank you for working alongside us to strengthen our community together.

Personal Information

First & Last Name*

Date of Birth

Phone Number*

Phone

Email Address*

Street Address*

City*

State*

Zip Code*

Gender

Emergency Contact Name*

Emergency Contact Phone Number*

Phone

Volunteer Information

Have you volunteered at the Ann Arbor YMCA before?

Select

Have you served as an Ann Arbor YMCA Staff or Volunteer within the past 12 months?*

Select

Are you currently a member of the Ann Arbor YMCA?*

Select

Why are you interested in volunteering with the Ann Arbor YMCA?*

Are you required to complete volunteer hours?*

Select

Please indicate which type of volunteer experience you are looking for (select all that apply).*

Select

Please select the Volunteer Position Title for which you are applying for*

Select

Please specify your selection of "other"*

Please indicate availability and number of hours per week you are interested in volunteering for*

Example: Monday, Wednesday, Friday, 4 -6 pm or Thursdays, 9 - 2

List any particular skills, talents, or interests you would like to share.

What other organizations have you volunteered at, if any?

Acknowledgement & Terms of Volunteering

I understand that I am not an employee of the Ann Arbor YMCA. I agree that I will not receive any compensation or benefit, nor will I be eligible for any coverage under Michigan Workers Compensation Laws.*

Photo/Talent Release: I hereby irrevocably release, consent and allow the Ann Arbor YMCA and its agents to use my/my dependents photographs/likeness/voice, as it pertains to participation with the YMCA, in any manner for promotional efforts without expectation of any reimbursement in connection with its use.*

I authorize the Ann Arbor YMCA to review the background check information for the sole purpose of obtaining a criminal history file search and/or Children’s Protective Service evaluation.*

By checking this box, I understand that I need to complete the 25-45 minute Abuse Risk Management for Volunteers training that will be sent to me by GreatAcademy. If I fail to complete the training prior to my selected volunteer date, I won’t be eligible to participate.*

I hereby certify that I have never been convicted of a crime other than a minor traffic violation.*

As a prospective volunteer of the Ann Arbor YMCA, I understand that it is this the organization’s policy to secure criminal history information as part of their pre-volunteer screening process.*

Link: https://ymcaannarbor.quickapp.pro/positions

REQUIRED: I have clicked and completed the form at the above link.*

Signature & Date

Type full name for signature*

By typing my full name, I certify that I am who I say I am and that all information in the above application is true.

Today's Date*

Send me a copy of my responses

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