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Family YMCA of Marion & Polk Counties

Volunteer Application

Volunteers are considered without regard to race, color, national origin, gender, age, sexual orientation, physical or mental disability, or any other bias protected by federal, state, or local legislation concerning equal opportunity employment. Every volunteer is subject to a criminal background check.

Personal Information
Contact Information
Are you 18 years of age or older?
Please list three personal references:
Volunteer Statement
Have you ever volunteered for the YMCA of Marion & Polk Counties before?
Have you ever been employed by the YMCA of Marion & Polk Counties before?
If selected as a volunteer, would you agree to sign a Volunteer Code of Conduct?
Applicant Agreement
  • I certify that the information in the application is correct and complete to the best of my knowledge.
  • Acceptance into the volunteer program with the YMCA of Marion and Polk Counties is contingent upon satisfacrory pre-placement procedures which include, but may not be limited to, an interview, verification of references, criminal background check, and training.
  • I realize that misrepresentation of facts will be cause for rejection of this application. In the event of placement in the volunteer program, falsification of any information on the application will be cause for dismissal.
  • I authorize the YMCA of Marion adn Polk Counties to verify the information provided on this appliation and to conduct a criminal background check. I will hold no person liable for giving or receiving information regarding this application.
  • I agree to abide by the policies of the YMCA of Marion and Polk Counties.
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