General Greater Marinette-Menominee YMCA Volunteer Application
Your help means the world to us. THANK YOU
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What Are Your Areas Of Interest *
Required
Full name (first, MI, last) *
Date Of Birth  *
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Address 
City, State, Zip code  *
Email *
Primary Phone Number  *
BACKGROUND CHECK 
To keep our members and community members safe we run a background check on everyone who is of age for all volunteer positions. 
Drivers License Number:  *
DL State Issued  *
DL Expiration Date  *
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Have you volunteered with the Y in the past?  *
Have you ever been convicted of a felony?  *
Have you had any criminal convictions for child abuse or sexual related crimes? *
Why are you interested in volunteering for the YMCA?  *
Are you required to volunteer? 

IF YES
- Hours are needed?
- Name of school/agency/government body requiring community service
 *
What specific days and times are you available to volunteers? *
REFERENCES | List 3 references that you authorize us to contact. References may include supervisors, faith leaders, or school counselors. One reference MUST be a family member or guardian.
Reference #1 FAMILY MEMBER: Full name, email, phone#, number of years known *
Reference #2 PERSONAL OR PROFESSIONAL:
 Full name, email, phone#, number of years known
 *
Reference #3 PERSONAL OR PROFESSIONAL:
 Full name, email, phone#, number of years known
 *
Electronic Signature of applicant (type full name)  *
Parent/ Guardian Signature (If applicant is under 18)
Todays Date 
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