I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by the YMCA. I authorize the schools, persons, previous employers, agencies and other organizations named in this application to provide the YMCA (its authorized employees, agents or representatives) with any relevant information that may be required to arrive at a volunteer placement decision and hereby release any such schools, persons, employers, agencies and organizations from any and all liability which they might otherwise incur as a result. I understand that any misrepresentations or omission of a material fact on my application may be justification for refusal for placement.
I hereby give my permission for the YMCA to obtain information relating to my criminal history record. I understand that this information will be used to determine my eligibility for a volunteer position with this organization.
I also understand that as long as I remain a volunteer here, they may repeat this criminal history check at any time.
In the event I volunteer, I understand that all volunteers are subject to dismissal at the discretion of the YMCA. If, in the event I choose to cease volunteering, I am free to do so at any time. I also understand that, if selected to volunteer, any misrepresentation made by me completing this application shall be considered as sufficient cause for my dismissal without advanced notice.
In the event of my selection, I will comply with all rules and regulations as
set forth by the YMCA. I have read, understand and support the YMCA's
position on the problem of child abuse.
I understand that completion of this form does not guarantee me status as a
volunteer. I must meet all stated conditions required of the position for
which I am asking to be considered.
I have read the above statement and accept the same as a condition of my
placement with the YMCA.