YMCA of Metropolitan Atlanta

PROGRAM VOLUNTEER INTEREST SURVEY

PERSONAL
Last Name
First Name
Middle Initial
Day Time Phone:
Evening Phone:
E-mail Address:
Best time to contact you:
By phone or email?:
Street Address

City
 State
 Zip

INTEREST SURVEY
Why are you interested in volunteering with the Metro AtlantaYMCA?
Is there a specific YMCA branch, site, or geographical area in metro Atlanta in which you’d like to volunteer?
In what program area(s) are you interested?
(Note: not all programs are available at all branches)
Teen Leadership & Development
Child Care
Mentoring or Tutoring
Coaching or Officiating
 Health & Wellness
Aquatic
Member Services
Policy (Boards, Committees)
Clerical/Administration
Guest Speaker/Workshop Presenter, Topic(s):
Other:
Other interest areas:
Arts
Environment
Education
Community Concerns
Global/International Issues
Other:

With what age group(s) would you like to work?
Elementary School and Younger (under 12)
Middle School (12 - 14)
High School (15 - 18)
Young Adult (19 - 30)
Adult
Older Adult
I prefer to work with staff only
Do you have specific skills you would like to share or develop?
Do you have any interests you’d like to explore?
Do you have previous volunteer experience? Please describe, including organization names:
When are you available to volunteer? (Days, Times)
 How often do you want to volunteer? (Ex.: once a month/twice a week/one-time events?)
How did you hear about volunteer opportunities at the YMCA?

STUDENT VOLUNTEERS
Are you looking to fulfill a school requirement, or will you receive school credit for your service? Yes No
IF YES, name of school:
Number of Hours needed: 		Are you interested in Service-Learning opportunities? Yes No
Deadline to Complete Hours:

We do not offer opportunities to complete community service hours.