Online Volunteer Application The YMCA is an equal opportunity organization. Discrimination because of race, creed, color, national origin, religion, gender, age or disability is prohibited. Date of Application* Name* First Last Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency ContactEmergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Relationship* TELL US ABOUT YOURSELFOccupation*Employer*Hobbies / InterestsT-Shirt Size (Adult Sizes)SelectSmallMediumLargeXL2XL3XL For High School Volunteers OnlyName of SchoolGrade REFERENCES Youth volunteers, grades 9-12, must also submit one letter of recommendation from a non-family member. (Ie: teacher, coach, pastor, etc.)Reference #1 Name* First Last Reference #1 Phone*Reference #1 Relationship* Reference #2 Name* First Last Reference #2 Phone*Reference #2 Relationship* Reference #3 Name* First Last Reference #3 Phone*Reference #3 Relationship* VOLUNTEER INTERESTSWhere would you like to volunteer?*C.W. Avery Family YMCAGalowich Family YMCAMorris Community YMCASmith Family YMCAMetropolitan OfficesWhat types of volunteer activities are you most interested in?Administrative SupportAdvisory Council / Board MemberCourt-OrderedMaintenanceSpecial EventsSummer Camp VolunteerVolunteer Day of ServiceYouth Sports CoachOtherOther Interest:How did you hear about this opportunity?*(YMCA member, staff member, email, social media, etc. If you were referred, please list a name).Are you looking to complete court-mandated community service hours?YesNoIf yes, how many hours?What days are you available to volunteer? (Please select all that apply)* Monday Tuesday Wednesday Thursday Friday Saturday Sunday What time of day are you available to volunteer? (Please select all that apply)* Mornings (8am-Noon) Afternoons (1-5pm) Evenings (5-8pm) VOLUNTEER AGREEMENT: I understand and agree that if my service as a volunteer is 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 give my permission to the YMCA to use all photos, videos, voice, and images taken of me both in print and on the internet for the purposes of promoting YMCA programs and services. This may be done by the YMCA or an outside group that the YMCA has agreed to work with in the publicity of their programs. I understand that the Greater Joliet Area YMCA is a drug and alcohol free environment and that volunteering is contingent upon passing a criminal background check. I hereby authorize investigation of all statements contained in this application and on the background check request. I specifically assume all risks of injury arising out of my persence on or about the premises, or my use of or intended use of equipment or facilities, or my participation in the activities of the YMCA (an Illinois chartered not-for-profit corporation) on or about the premises or at another location. I waive, release, and forever agree to hold free from all claims for liability or damages arising out of, or in connection with my participation in YMCA activities and/or use of YMCA facilities, the Greater Joliet Area YMCA, and its respective officers, Trustees, Board of Directors, members, employees or agents. Applicant Acknowledgement* By checking this box I acknowledge the above agreement NameThis field is for validation purposes and should be left unchanged.