APPLICATION FOR VOLUNTEER SERVICE

Thank you for considering the YMCA as a place to donate your time and talents. Volunteers are vital to the YMCA. Without them, we would not be able to meet the needs of the kids, families, and adults of Central Ohio.

At the YMCA, we know that your time and talents are precious, and we want every minute you spend with us to be worthwhile. This is why we are asking you to take a few minutes to complete this application. It will help us to match your skills with the opportunities available.

GENERAL INTERESTS EMERGENCY
CONTACT
APPLYING TO WORK
WITH CHILDREN?
EMPLOYMENT REFERENCES

GENERAL

Please select the location(s) you would like to apply to volunteer at.


Full Facility Branches


Outdoor/Multipurpose Facilites


ECRN+


* Are required fields.

Have you ever been convicted of a criminal offense? If so, what was it?*


What is the highest level of education that you have completed?*

INTERESTS

* Are required feilds.

How did you learn about volunteer opportunities at the YMCA?

Why would you like to volunteer?

Have you heard about any particular volunteer opportunities that interest you?

Area you would wish to volunteer (skills, talents)

Are you a member of the YMCA?*

EMERGENCY CONTACT

COMPLETE IF APPLYING TO WORK WITH CHILDREN?

* Are required feilds.

Why do you want to work with and care for children?..


Do you have a preference for working with a particular age group and/or sex?*

Why?


How do you plan to discipline?


What do you do when you are upset or angry about something?

Are you a pedophile or child abuser?*

Have you ever been accused of being a pedophile or child abuser?*

If yes, please explain.

Other than through employment, how are you involved with children?



EMPLOYMENT

* Are required fields.

Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent.

From Date

To Date

May we contact for reference?


Summarize the nature of work and job responsibilities


REFERENCES

Supplemental References

List 3 professional references that are not past employers (ex: teachers/professors; customers/clients; coaches, clergy, etc.)

TERMS OF ACCEPTANCE

STATEMENT OF APPLICANT

In the YMCA of Central Ohio’s efforts to attract the highest quality volunteers, I have been advised and authorize, that, as a part of the application process for volunteer service with the YMCA, an extensive inquiry will be made concerning my background, employment, activities, character, and health, and I fully consent to and authorize all such inquiries.

I understand that my continued involvement as a volunteer is contingent upon a clear criminal history background check. If the YMCA of Central Ohio accepts my volunteer service, I will comply with all policies set forth by the Organization. I hereby waive any right to claim that any request or investigation is an invasion of my privacy, since it is made with my consent and it is in my interest that I be considered for volunteer service. I understand that for some volunteer assignments my involvement as a volunteer will be contingent upon passing the health screenings or otherwise meeting licensing standards.

I certify that all statements made by me on this application are true to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand and agree that any misrepresentation or omission of facts would exclude my being considered for volunteer service or, after my service begins, may because for termination.

I understand and agree that if my services as a volunteer are accepted, there is no contract period for volunteer service and my volunteer service would be solely “at will," giving either me or the YMCA the right to terminate my volunteer service at any time without liability or obligation.

I hereby acknowledge that I have read and understood the above statement and that I voluntarily sign this application.

VOLUNTEER CODE OF CONDUCT

On behalf of the YMCA of Central Ohio, thank you for your time and valuable service. Our programs enrich the lives of many children, families and adults of Central Ohio, Safety and well being of all people is a top priority for us so please read and follow these guidelines carefully.

  1. Volunteers must portray a positive role model for youth by maintaining an attitude of respect, responsibility, caring and honesty.
  2. Volunteers must use positive forms of guidance, including positive reinforcement, rather than competition, comparison or criticism.
  3. The YMCA takes an aggressive approach against child abuse. Any of the following is strictly prohibited and may result in prosecution.
  4. Physical Abuse i.e. strike, spank, shake, slap B. Verbal Abuse - i.e. humiliate, degrade, threaten C. Sexual abuse - inappropriate touching and
  5. exposure
  6. Ohio law requires that all citizens report any suspected abuse or neglect of a child to proper authorities, Le. Children Services.
  7. Volunteers are encouraged to use the following as ways of non-verbal communication:
  8. Hand to shoulder Contact Side by side hugs Pats on head hand shakes eye Contact G. smiles
  9. Volunteers are to report any inappropńate behavior observed to a YMCA staff member. 7. Volunteers will refrain from intimate displays of affection while they are with children.
  10. Inviting children to a volunteer’s home without full knowledge of the child's parent(s) and without another adult present at all times is strictly prohibited.
  11. Taking youth anywhere without full knowledge of the parent(s) is strictly prohibited. 10. Volunteers are to treat persons of all races, religions and cultures with respect and consideration.
  12. The YMCA is not responsible for and discourages volunteers from providing care and custody for participants, under the age of 18, outside a YMCA program.
  13. Volunteers should not accept gratuities from participants or parents of participants. 13. Volunteers will not use profanity during any activities or when communicating with youth.
  14. Smoking or use of tobacco products on YMCA property or during Y sponsored activities in view of children is highly discouraged.
  15. Using, possessing, or being under the influence of alcohol or illegal drugs is prohibited while on YMCA property, or when you are with YMCA participants.
  16. Volunteers are subject to background investigation.

BACKGROUND CHECK

I hereby authorize the YMCA of Central Ohio to conduct a background investigation.

I authorize the release of any and all information from any appropriate agency regarding any criminal conviction history to the YMCA of Central Ohio. I understand that my ethnicity, date of birth, gender and my age will not be made a part of my Employment Application and that none of these four (4) items will be considered in the review of my employment.

I acknowledge that the YMCA of Central Ohio will complete a full background investigation, including but not limited to a State Police Criminal Conviction Record Check and Secretary of State Record Check.

STATEMENT OF APPLICANT

I understand that my continued involvement as a volunteer is contingent upon a clear Criminal history background check. If the YMCA of Central Ohio accepts my volunteer service, I will comply with all policies set forth by the Organization. I hereby waive any right to claim that any request or investigation is an invasion of my privacy, since it is made with my consent and it is in my interest that I be considered for volunteer service. I understand for some volunteer assignments my involvement as a volunteer will be contingent upon passing the health screenings or otherwise meeting licensing standards.

I certify that all statements made by me on this application are true to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand and agree that any misrepresentation or omission of facts would exclude my being considered for volunteer service or, after my service begins, may because for termination.

I understand and agree that if my services as a volunteer are accepted, there is no contract period for volunteer service and my volunteer service would be solely “at will," giving either me or the YMCA the right to terminate my volunteer service at any time without liability or obligation. I hereby acknowledge that I have read and understood the above statement and that I voluntarily sign this application.

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