Your Full Name (required)

Your Birthdate (required)

Your Address (required)

Your Email (required)

Your Phone Number (required)

Highest Grade Completed (required)

Currently EnrolledDegree EarnedOther

Current Employer (required)

Full TimePart TimeRetiredUnemployed

How did you hear about YPN? (required)
StaffAnother VolunteerOnline AdUnited WayVolunteer FairOther

YPN offers a variety of volunteer opportunities. Please select from the list below and together we will determine the opportunity that is the best fit for your interests, skills, and availability in consideration of YPN’s current needs.

Group Nights Childcare (Thursday Evenings ages 0-5)Group Speaker/Special EventsLiteracy Skill BuildingGroup Facilitator (Thursday Evenings): PrenatalMomsDadsHispanic MomsFundraisingWe Care ShopEastern Iowa Diaper BankDriving/ClericalPublic AdvocacyOther

Are you bilingual or multi-lingual?
YesNo

What languages do you speak? (required)

Please summarize any special skills, passions, talents, or hobbies you might have (required)

Please select your availablily (check all that apply) (required)
Monday 12-5pmThursday 12-5pmThursday 530-730pm

I am looking for volunteer opportunities that are (check all that apply) (required)
WeeklyMonthlyEvent basedProject basedSummer onlySchool year only

What experiences have you had with teens and/or young children? (required)

List any training, related experience, or knowledge that you have that may benefit you in this volunteer position? (required)

Why do you want to volunteer at YPN and what do you hope to gain from this experience? (required)

Are you volunteering to fulfill a requirement for a class or a school program or a legal community service requirement? (required)
School YESSchool NOCommunity Service YESCommunity Service NO

It is the policy of YPN to provide a safe environment, both in our facilities and in our outreach programs. Therefore, we require a background check on all volunteer applicants.

Have you ever been convicted of a felony? (required)
YESNO

Have you ever been convicted or had an investigation of violating any law involving child abuse, sexual abuse, physical abuse, sexual harassment, exploitation or any other crime related to children? (required)
YESNO

Do you have charges pending related to the aforementioned? (required)
YESNO

Any “YES” answer requires a further interview with the Executive Director and/or a Program Manager.

Agreement and E-Signature

I certify that all information provided on this application and during the interview process is true and complete to the best of my knowledge. I authorize YPN to contact my references and authorize these references to provide YPN with the information regarding my work/volunteer history, education, or character. I understand that appointment to a volunteer position is contingent upon the completion and review of background and reference checks.

Your E-Signature (required)