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Volunteer Application: Community Service

Please fill out this application if you have court-ordered community service to complete. Please allow five business days for a YWCA representative to get back to you.

"*" indicates required fields

Step 1 of 4

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Personal Information

Name*

First Last

Maiden Name, Aliases or Other Names Used

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Community Service Information

Number of community service hours needed.*

Date hours must be completed by*

MM slash DD slash YYYY

Reason for community service hours.*

Availability

Which days of the week are you available?*

Please keep in mind our hours are 6:30 a.m. to 5:30 p.m., Monday through Friday. Very few hours outside those days/times will be available.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Please list the hours you are available each day.

Please read and sign the following.

If selected as a community service volunteer:*

Select exactly 4 choices.

I voluntarily offer my services with a clear understanding there will be no monetary compensation.

I agree to conform to all YWCA rules and regulations and those specific to the volunteer program.

I certify the information contained in this application is correct to the best of my knowledge.

I will come in on the day(s) and time(s) I have scheduled. If unable to come in on my assigned day, I will notify my YWCA supervisor as soon as possible. I understand failure to do this may result in my community service work with YWCA to be terminated.

Signature*

GuideStar Transparency Seal

Get in Touch

Main: 309-662-0461
Childcare: 309-662-7826
Hotline: 309-556-7000
info@ywcamclean.org
1201 N. Hershey Rd. Bloomington, IL 61704

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YWCA McLean County is a 501(c)(3) charity. Donations are tax deductible. Tax ID#: 37-0661264

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