PART 1: PERSONAL CONTACT INFORMATION

Please complete the volunteer application form below.  All information is confidential.

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* Volunteer First Name

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* Volunteer Last Name

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* Email Address

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* Home Phone Number

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* Cell Number

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* 2019-20 School

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* Grade level in Fall 2019

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* Preferred Program Location

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* St. James Town Programs

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* Scarborough Programs

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* Jane & Driftwood Programs

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* Leacock Volunteer Experience

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* Describe related experience you have had such as tutoring, volunteering, and/or youth programs.

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* Please list areas of interest and skill  (hobbies, dance, technology, games, sports etc.).

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* What interpersonal skills do you hope to develop during your volunteer experience?  You may check multiple boxes.

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* Please provide an emergency contact name and number.

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* Please list any allergies or medical conditions you may have below:

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