Volunteer Application - YMCA of the Treasure Coast

Thank you for volunteering with the Y!

You can submit your online application here, or download the PDF form to fill out and submit. As part of our screening process, we will need your social security number for a background check.

Your Name

Date of Birth

Address

City

State

Zip Code

Phone

Volunteer Position

At which YMCA location(s) would you like to volunteer. (You can choose more than one.)

Stuart Indiantown St. Lucie

Can you perform the essential fuctions of the volunteer position for which you are applying, with or without reasonable accommodation?

Yes No

Have you ever been subject to a child or adult abuse investigation?

Yes No

If yes, please provide the date of investigation, charge (if any) and general comment:

Is this volunteer service court ordered?

Yes No

If yes, please provide a date, charge and general comment. (A conviction will not necessarily bar volunteering. The organization may consider the nature, date and circumstances in determining the relevance of the offense to the duties in question.)

Please provide 3 references (including one family member):

Phone Number of Reference #1

Email of Reference #1:

Reference #2

Phone Number of Reference #2

Email of Reference #2:

Reference #3

Phone Number of Reference #3

Email of Reference #3:

YMCA of the Treasure Coast

(772) 286-4444

Thank you for volunteering with the Y!