Volunteer application

Thank you for your interest in volunteering with YWCA NorthEastern NY. Please fill out the following form – you will hear back within 3 business days.

Click here to fill out the PDF version of the form if you are having troubles viewing the form below. Please email the completed PDF form to [email protected]

 

Volunteer Application

Biographical information

Name
Name
First
Last
Certain placements require you to be at least 18 years of age.

Volunteer preferences

Interested Programs
Do you have any medical or special requirements?
Maximum upload size: 33.55MB

Reference 1

Name
Name
First
Last

Reference 2

Name
Name
First
Last

* All volunteers assigned to work directly with program participants may be asked to complete a federal background check. Instructions for completion will be provided to you following assignment confirmation. If you already have a federal background check or suitable government clearance, please submit a copy.*

Have you ever been convicted of a felony? If yes, please explain.

I certify that the information in this application and any accompanying resume is accurate and complete. I understand that omission, misrepresentation or falsification of any information is grounds for withdrawal of volunteer placement. I understand that inquiries may be made regarding my background. I understand that if service is accepted, there is no contract period for my volunteer service and my volunteer service is solely “at will”, giving either me or YWCA NorthEastern NY the right to terminate my volunteer service at any time without liability.