The YMCA of Norwalk

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If you are interested in becoming part of the YMCA of Norwalk Volunteer Program, please complete and submit the application form below.

(* required fields)
*Full Name:
*Address:
*City:
*State:	*Zipcode:
*Email Address:
*Phone 1 (indicate home, work, cell):
Phone 2 (indicate home, work, cell):
*Current Occupation:
*Employer/School:
*Are you 18 years of age or older? Yes No
If No, what is your birthdate?
*Have you ever volunteered for a YMCA or been employed by a YMCA? Yes No
Why do you want to volunteer? (Please check all that apply) Do something good Meet new people Use or develop skill unrelated to work Church program requirements Gain experience in a desired field of work Internship requirements School graduation requirements
Other Reasons (please specify)
Where would you like to volunteer your time? (Please check below) Aquatics Fitness Youth Family Administration Membership
Availability
How many hours per week do you wish to commit to a YMCA volunteer assignment?
If not a weekly assignment, what schedule can you commit to?
How long will your initial commitment to YMCA volunteer work be? 6 months 1 year Other
Would you also be interested in one day special event volunteer opportunities? Yes No
Related Background Information

Training, formal education or certifications you can apply as a YMCA Volunteer:
YMCA Volunteer experience or any other type of volunteer experience:
Skills or interests you can apply as a YMCA Volunteer:

YMCA of Norwalk • 370 West Avenue • Norwalk, CT 06850 • (203) 866-4425