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Volunteer Application
1.
Personal Info
Name
Preferred First Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
2.
Do you have any health concerns that may impact you as a volunteer or pose a health risk to others?
Yes
No
If yes, describe and explain work limitations.
3.
Times available:
Days
Afternoons/Evenings
Weekdays
Weekends
4.
Are you currently associated with another volunteer agency?
Yes
No
If yes, agency name:
5.
Are you currently employed?
Yes
No
6.
Are you attending school right now?
Yes
No
If yes, area of study
7.
Valid driver's licence?
Yes
No
Province:
8.
Are you at least 19 years old?
Yes
No
9.
Please indicate any previous volunteer experience.
10.
General Information: This space can be used to highlight any additional information pertaining to employment history, career objectives, or relevant interests and experiences you feel are directly related to the volunteer position you are applying for. Completion of this section is very helpful in assisting us to assess potential placement.
11.
References: Please provide a minimum of two people who may be contacted.
Reference 1
Name:
Telephone number:
Relationship:
Number of years known:
Reference 2
Name:
Telephone number:
Relationship:
Number of years known:
Reference 3
Name:
Telephone number:
Relationship:
Number of years known: