What's your email address?

Your information


Required fields are marked with an asterisk (*).
First Name *
Do you have a middle name? *
Full Middle Name *
Last Name *
Social Security Number (needed for background screening) *
What's your date of birth? *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Mobile Phone Number *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Stateline Family YMCA volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Who is your Cell Phone Carrier? *
Address (Street) *
City *
State *
Zip Code *
Are there any specific volunteer opportunities you're interested in? (please list specific sport(s) or other opportunities, if applicable) *
How did you learn about volunteer opportunities at Stateline Family YMCA? *





Code of Conduct

Click the link below to review the Child Abuse Prevention Policy and Background Screening Authorization forms. Your signature below attests that you have read, understand, and will abide by those policies. Further, your signature authorizes Stateline Family YMCA to conduct a background screening to determine your eligibility to volunteer with the organization.

Copy and paste, or type this link into your web browser. https://statelineymca.org/volunteerpolicies