VOLUNTEER APPLICATION Please fill out the application below to become a volunteer at the Y. Name First Last Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Email Phone Are you over the age of 14? Yes No Where would you like to volunteer? (Select all that apply) Bay View Family YMCA (Webster) Corning Family YMCA (Corning) Hutch Family YMCA (Penfield) The Lewis Street YMCA Neighborhood Center (Rochester) Maplewood Family YMCA (Rochester) Northwest Family YMCA (Greece) Sands Family YMCA Schottland Family YMCA (Pittsford) The Thurston Road YMCA Neighborhood Center (Rochester) Westside Family YMCA (Gates) YMCA Camp Arrowhead (Pittsford) YMCA Camp Cory (Penn Yan) YMCA Camp Gorham (Eagle Bay) YMCA Camp Northpoint (Hilton) Before & After School Program Division (Multiple Locations) The YMCA at Innovation Square (Rochester) How would you like to volunteer at the Y? What is the best time to contact you? Morning Afternoon Evening Weekends Have you previously been involved with the YMCA? Yes No When are you able to volunteer? (Select all that apply) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM Sunday AM Sunday PM Emergency Contact First Last Emergency Contact Phone Emergency Contact Relationship
Name First Last Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Email Phone Are you over the age of 14? Yes No Where would you like to volunteer? (Select all that apply) Bay View Family YMCA (Webster) Corning Family YMCA (Corning) Hutch Family YMCA (Penfield) The Lewis Street YMCA Neighborhood Center (Rochester) Maplewood Family YMCA (Rochester) Northwest Family YMCA (Greece) Sands Family YMCA Schottland Family YMCA (Pittsford) The Thurston Road YMCA Neighborhood Center (Rochester) Westside Family YMCA (Gates) YMCA Camp Arrowhead (Pittsford) YMCA Camp Cory (Penn Yan) YMCA Camp Gorham (Eagle Bay) YMCA Camp Northpoint (Hilton) Before & After School Program Division (Multiple Locations) The YMCA at Innovation Square (Rochester) How would you like to volunteer at the Y? What is the best time to contact you? Morning Afternoon Evening Weekends Have you previously been involved with the YMCA? Yes No When are you able to volunteer? (Select all that apply) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM Sunday AM Sunday PM Emergency Contact First Last Emergency Contact Phone Emergency Contact Relationship