Volunteer Application

Volunteer Application
Please fill out the following application form to volunteer with us.

For any questions or concerns, please contact us at

(506) 646-2116 | volunteers@yswnb.ca

*Please note the full application can take up to 2 weeks to complete.
Name*

First NameLast Name
Preferred Name*

First NameLast Name
Gender*
Pronouns
Address*

Street Address

Unit/Apartment no.

CityProvince

Postal Code
Home Phone
Cell Phone No.*
Email Address*
Date of Birth*

MonthDayYear
Date
T-shirt Size*
Date

MonthDayYear
Date
Age
Occupation
Previous Volunteer Experience

0/200
Spoken Languages*
Write all the languages you can speak
How did you hear about volunteer opportunities at the YMCA of Southwestern New Brunswick?*

Availability (tentative)*

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning
Afternoon & Evening

Please fill in the tentative time you are available to volunteer throughout the week.

for example, Monday: 8 AM - 12 PM and Thursday, 1 PM - 8 PM.
If accepted, how long are you able to commit?

Short term (less than 6 monthsLong Term (longer than 6 months)Other
Please indicate the location(s) you are interested to volunteer at*

Saint John Regional YIrving Oil Field HouseEarly Childhood Hub - North EndEarly Childhood Hub - South EndEastern Charlotte CountyForest Glen Community CentreLakewood Heights After SchoolLoch Lomond After SchoolMillidgeville Community CentrePrince Charles After SchoolQ-PlexRothesay Elementary After SchoolWest Side After SchoolCamp GlenburnGlenn Carpenter CentreQuispamsis Shannex Child Care
Glenn Carpenter Centre and Camp Glenburn are seasonal locations.
Areas of Interest*

Youth & Family ProgrammingHealth, Fitness & AquaticsNewcomer ConnectionsMembership ServicesChild MindingChild CareAfter School Care & Day CampSummer CampPhilanthropyRainbowsSpecial EventsCommittee Member (select if you have already been accepted to join)Facility, Maintenance & HousekeepingBoard Member (select if you have already been accepted to join)Open to all options
Which of the following roles are you interested to volunteer in?
Categories:All

All

Health, Membership and Recreation

Newcomer Connections

Youth and Community

Committees
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Health, Membership and Recreation

Aquafit InstructorProvide a quality AquaFit fitness class that includes all members, regardless of age or ability.
FreePEN



Active Aging InstructorPlan and lead exercise sessions in one or more assigned class streams: Chair Yoga, Zumba Gold, fall prevention.
FreePEN



Aquatics InstructorAssist Aquatics staff in providing children and youth with healthy opportunities to learn and improve their swimming skills
FreePEN



Cyclefit InstructorProvide cycling training and class instruction on a regular or substitution basis
FreePEN



Group Fitness InstructorPlan and lead exercise sessions in one or more assigned fitness areas, such as low-impact aerobics, stretching/flexibility, circuit training, general fitness, weight training, older adults fitness, and more.
FreePEN



Insanity Group Fitness InstructorProvide Insanity class on a regular or substitution basis
FreePEN



Yoga InstructorProvide yoga training and class instruction on a regular or substitution basis.
FreePEN



Y Thrive VolunteerProvide high-quality customer service to participants, book people into YThrive appointments and recommend YMCA programs to suit customer goals and needs.
FreePEN



Zumba and Zumba Gold InstructorComplete a Zumba training and provide Zumba training or classes on regular or substitution basis.
FreePEN



Newcomer Connections

Arrival SupportMeet and assist newly arrived Government Assisted Refugees (GAR). The new arrivals are in a new country, a new city, with a new language, new food, laws, and culture; they may be alone, with no family, contacts, or friends.
FreePEN



Community GuideProvide practical orientation to help refugees navigate appointments in the community and become empowered towards independence.
FreePEN



ESL Classroom AssistantWork with ESL (English as a Second Language) learners who are attending LINC (Language Instruction for Newcomers to Canada) classes. Support ESL learners to achieve their individual learning goals through targeted one-on-one or small group instruction in a classroom environment, with guidance from the ESL instructor.
FreePEN



First FriendThe First Friend initiative is designed to create a natural, unique friendship with your newcomer match while assisting them in adjusting to life in Canada and encouraging them to become independent. This is the best opportunity for you to meet newcomers and help them settle.
FreePEN



Homework Club TutorProvide tutoring support so that students can reach their academic goals and can adapt and integrate faster into the New Brunswick education system. You can provide support in Middle and High School Math, English, Science and ESL
FreePEN



Independent Literacy TutorProvide English language support to newcomer who may or may not be currently enrolled in a Language program. After receiving relevant training, you can meet with the adult learners individually to help them improve their English Literacy skills.
FreePEN



InterpreterProvide interpreting services to all newcomers with very limited English proficiency. The interpreter can be either volunteer or contracted and help make communication easier so that Newcomers can better participate and understand their settlement process.
FreePEN



Youth and Community

Rainbows Program FacilitatorVolunteer in the Rainbows Program to facilitate a peer support programs for children who have experienced a separation, divorce, death or other painful transition within their family.
FreePEN



Youth Program VolunteerWork with children during youth programs supporting with preparation as well as participating in field trips and community events while providing continued assistance to the educator.
FreePEN



Y Delivery Coordinator Make a difference, help facilitate food basket deliveries from one of the 4 Food Banks in Saint John to the clients they serve. This role requires heavy lifting and access to a valid driver's license and vehicle considered an asset. Mileage will be reimbursed.
FreePEN



Committees

Parent Advisory Committee VolunteerHelp make decisions about your child's future!
FreePEN
Note: Must be at least 21 years of age to volunteer for Rainbows.
Note: Minimum age requirements apply to volunteer in Child Care, After School, Youth & Family Programming, and Child Minding
Note: Summer Camp is a seasonal opportunity.
I give consent to contact the following 2 professional references (must not be friend or family to the applicant).

Please ensure that you fill in the correct email address.
Name*
First Professional Reference
Email*
Phone Number
Name*
Second Professional Reference
Email*
Phone Number
Are you a student?*

YesNo
School/University*
Grade/Year*
Parent/Guaridan's Name*
Parent/Guaridan's Address*
Email*
Phone Number*
Parent/Guardian's Signature*

Clear
Emergency Contact Name*
Contact Phone Number*
Please Note: As a condition of volunteering for the YMCA, a current satisfactory original Criminal Record Check with a Vulnerable Sector Screening is required prior to the start of the volunteer placement.

You will receive the application and instructions for the Criminal Record Check through Sterling BackCheck by email after you submit your application.

If the Applicant is UNDER the age of 18, they do not require a criminal record check.
Please Note: As a condition of volunteering for the YMCA, the applicant is responsible for submitting a current satisfactory original Criminal Record Check with a Vulnerable Sector Screening prior to the start of the volunteer placement.

You can submit your Criminal Record Check through by receiving it from the Police Authority or the YMCA can conduct it for you from Sterling BackCheck.

You will receive the application and instructions for the Criminal Record Check by email.

Saint John cost: $10.00 if applying to volunteer for a non-profit organization.

Rothesay Area cost: $15.00 in Rothesay to volunteer for a non-profit organization.

Grand Bay-Westfield Area cost: No cost.

Sterling BackCheck: No cost.

If the Applicant is UNDER the age of 18, they do not require a criminal record check.
Your preferred mode of Criminal Record Check*

Police Authority (Saint John/Rothesay/Grand Bay-Westfield)Sterling BackCheck
For internal use only:
Supervisor Name
Location
Position
Signature

Clear
Date

MonthDayYear
Date

Volunteer application
Please make sure you read all the agreements and guidelines below.

You will able to submit this application once you have scrolled down and read the agreements and guidelines.
Disclosure for conflict of interest (if applicable)
Position
YMCA of Southwestern New Brunswick recognizes the value of youth performing volunteer work in our community. It is the policy of the YMCA of Southwestern New Brunswick that all youth volunteering less than 18 years of age, have signed consent by a parent or guardian agreeing all requirements of a volunteer placement prior to beginning their volunteer duties.

I, the undersigned, give parental or guardianship consent to the above named volunteer in this application for them to perform volunteer work if successful in this role and consent to all requirements of a volunteer placement with the YMCA of Southwestern New Brunswick including consent to use any photo of the above named volunteer in this application, individually or in a group, at and association related activity for the purpose of public relations (publication in print and electronic media).
Parent/Guardian Signature*

Clear
Date Completed*

MonthDayYear
Date
I give permission for the YMCA of Southwestern New Brunswick to use any photo of myself, individually or in a group, at any Association-related activity for the purpose of public relations (publication in print and electronic media)*

YesNo
Name*
Volunteer Signature*

Clear
Date Completed*

MonthDayYear
Date
Should be Empty:

Volunteer Application

For internal use only:

Volunteer application