Full Name (required)

Email (required)

Street Address (required)

City (required)

Postal Code (required)

Primary Phone Number (required)

Alternate Phone Number

Have you applied for employment with us? (required)

YesNo

Volunteer Eligibility

When will you be available to begin Volunteering?

Are you 18 or older?

YesNo

Have you been convicted of a criminal offence for which a pardon has not been granted?

YesNo

If yes please explain.(Please provide criminal record check at interview)

Are you willing to provide us with a Child abuse registry check?

YesNo

Do you have other special training or skills?
(additional spoken or written languages, CPR/First Aid, NVCI)

We offer various programs, what program would you be the most interested in volunteering. (Life skills/Music/Arts & Crafts/Girls Club/Home Work Club/Food Bank/Board Member/General Dropin

Education

High School?

College?

Course of study?

Number of years completed

Did you graduate?

YesNo

Work Experience

Position 1

Company Name

Company Phone Number

Job Title

Name of Supervisor

Employed From:

To:

Describe your work

Position 2

Company Name

Company Phone Number

Job Title

Name of Supervisor

Employed From:

To:

Describe your work

May we contact your previous/current employer?

YesNo

If not, why not?

Reason for leaving

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