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GIVE

YWCA RSVP Enrollment Form

YWCA RSVP Enrollment Form

Please complete all sections to be enrolled in the YWCA RSVP program. RSVP volunteers are paired with non-profit organizations in the community that are in need of volunteers and match your skill set.

Step 1 of 8

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  • Date Format: MM slash DD slash YYYY
  • please attach an explanation of charges, date of offense, and status of the charges.
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  • Driver’s License Information

    RSVP provides mileage reimbursement for travel between home and volunteer site to the volunteers.
  • Please include proof of auto insurance showing active coverage. You may upload a photo or copy now or mail/drop off a copy at YWCA McLean County. This is required for mileage reimbursement.
  • Date Format: MM slash DD slash YYYY
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  • As an RSVP volunteer, you will be provided secondary coverage for accident and personal liability insurance plus a small death benefit while performing volunteer duties. This coverage is automatic and free of cost to you as long as you are an active enrolled member of RSVP. Please provide beneficiary information.
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  • Your Interests

    Please help us make your volunteer experience the best it can be. Please tell us what areas interest you and where your skills lie. This will help us match you with a volunteer opportunity. Please check all that apply.
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  • Photography Permission

    Please indicate if YWCA RSVP has permission to use your likeness in photography or video.
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  • Demographics

    The following information is optional and will not affect your enrollment with YWCA RSVP.

    RSVP is often asked to provide demographical information pertaining to volunteer members. Please provide the following information (Optional).

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  • Equal Employment Agency

    YWCA RSVP is an equal opportunity Agency. Enrollment is done without regard to race, color, religion, national origin, including individuals with limited English proficiency, sex, age or disability. RSVP provides reasonable accommodations to the known disabilities of individuals in compliance with the Americans with Disabilities Act. For accommodation information or if you need special accommodations to complete the application process, please contact YWCA RSVP at (309) 662-0461. Thank you for any information you have provided. Your information is never sold, shared, or used outside of the YWCA RSVP, our participating volunteer stations, or the Corporation of National and Community Services.
  • Certifications

    By signing below, I acknowledge that I have read and understood the following statements:

    • I hereby state I am 55 years of age or older and offer my services as a volunteer for the YWCA RSVP. I understand I am not an employee of RSVP, the sponsor, YWCA Mclean, the volunteer station or the Federal Government and agree to serve without compensation.

    • I understand in my capacity as an RSVP volunteer I may come into contact with confidential information. I agree to protect this information to the best of my ability and not to disclose it during or after my service as a volunteer has ended.

    • I understand if I use my personal automobile in my volunteer service, I will arrange to keep in effect automobile liability insurance equal or greater to the minimum requirements of the state of Illinois. I will also keep in effect a valid Illinois Driver's license.

    • I understand my enrollment form may be scanned as a digital copy for RSVP’s records, and if/when this occurs, my original enrollment form will be shredded.

  • Please use mouse or trackpad to sign your name in the box below.
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Get In Touch!

(309) 662-0461

1201 North Hershey Road
Bloomington, IL 61704

info@ywcamclean.org

About Us

For more than 100 years, YWCA McLean County has been a constant force in the lives of families in our community. We serve women, children, and families, offering a variety of programs and services.

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