Junior Leader Volunteer Application

Volunteer with a Purpose

Thank you for considering the ISLAND OF HAWAI'I YMCA as a place to donate your time and talents to strengthen community. Volunteers are vital to the Y. Without volunteers, we would not be able to meet the needs of our families who live in HAWAI’I COUNTY.

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

You will find questions on this form about your background, former residences, and places of education/employment. We hope you will understand that, unfortunately, not everyone will be appropriate to volunteer at the Y. We make an active effort to prevent abuse. So even though we may know you well, we reserve the right to conduct background and reference checks on all volunteers. It is just one of the many ways we help protect children and other vulnerable people served by the ISLAND OF HAWAI'I YMCA.

Thanks for your cooperation in this effort and your interest in the Y. If you have any questions about this or any part of our application process, please contact us at 808-935-3721.

Junior Leader Application

"*" indicates required fields

Name*

First Middle Last

Birth Date*

Ethnicity*

For statistical and grant application purposes. Please select up to three (3) choices.

Latino or Hispanic Descent*

Yes

Address*

Street Address Address Line 2 City State ZIP Code

How long have you been at this address?*

Household Income Size*

FOR STATISTICAL & GRANT APPLICATION PURPOSES ONLY.

Email*

Phone - Day*

Phone - Evening*

Are you 18 years of age or over?*

(If no, please have your parent or guardian sign the application, too.)

Yes

Emergency Contacts*

List at least 2 (two) emergency contacts

Name

Cell Phone

Secondary Phone

Relationship

Interests, Skills and Certifications

How did you learn about volunteer opportunities at the YMCA?

Why would you like to volunteer?*

What volunteer opportunities interest you?*

Are there any skills, talents, or interests you’d like to share?*

Certifications

(CPR/First Aid, etc.)

What other organizations have you volunteered for, if any?

Are you a member of the YMCA?*

Membership is not required

Yes

Education/Employment History

Please list your last two schools/employers, starting with the most recent:

Name of School/Employer (1)*

Dates (1)*

Enter dates of attendance from start to end

School/Employer Address (1)*

Street Address Address Line 2 City State ZIP Code

School/Employer (1) Phone*

Name and title of homeroom teacher/immediate supervisor (1)*

Name of School/Employer (2)*

Dates (2)*

Enter dates of attendance from start to end

School/Employer Address (2)*

Street Address Address Line 2 City State ZIP Code

School/Employer (2) Phone*

Name and title of homeroom teacher/immediate supervisor (2)*

Education History

Formal education is not required to be a volunteer. We welcome experience of all kinds!

Education*

For School Level indicate High School, Middle School, College, University, etc.

School Level

School Name & Location

Course of Study

Start & End Dates

Did you Graduate?

Degree or Diploma

References

References*

Please list two (2) people whom you have known for at least two years and who know you well enough to provide us with a reference.

Name

Address

Telephone

Relationship

How long have you known this person?

Files

Birth Certificate*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 6 MB.

Photo ID*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 6 MB.

Releases & Waivers

Signature*

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Parent/Guardian Employer*

Parent’s or guardian’s signature*

(If under the age of 18)

Once your application is submitted, it will be reviewed by the YMCA staff and you will be contacted for a meeting.

Junior Leaders who are confirmed into the program will be assessed an non-refundable annual fee of $50. Financial Assistance is available.

Junior Leader Volunteer Application

Volunteer with a Purpose

Junior Leader Application

Interests, Skills and Certifications

Education/Employment History

Education History

References

Files

Releases & Waivers

Member Portal