VOLUNTEER APPLICATION FORM
 
1. PERSONAL INFORMATION
*First Name *Last Name
Address1 Address2
Apt# City
Province Postal Code
Phone Email
Cell

2. EMERGENCY CONTACT
Name Relationship
Phone Mobile
Work

3. EDUCATION
Name of School Course of Study LevelDate
High School
Post Secondary
Other
Special Training/Certificates Received:
Are you receiving academic credit for your volunteer work?
no yes
Hours Required

4. EMPLOYMENT HISTORY
Employer Job Title From To Reason for Leaving
Current Employment Status Full Time Part Time Student Retired
Unemployed

5. VOLUNTEER EXPERIENCE
Organization Your Role From To Reason for Leaving

6. AVAILABILITY: Please indicate times you are available ( **Special Events only)
Mon Tue Wed Thurs Fri Sat Sun **
Morning
Afternoon
Evening **
How long of a commitment are you prepared to make?
6 months 9 months 1 year on going
How often would you like to volunteer? 1 Shift/Week 2-3 Shifts/Week Special events

7. VOLUNTEER OPPORTUNITIES: Please indicate where you would like to volunteer
Thrift Shoppe Office/Clerical Special Events Computer Technology
Communications Media Grants Fundraising Volunteer Recruitment
Awareness Health/Medical
Other  

8. SKILLS & EXPERIENCE: Please indicate what you would bring to your volunteer role
organizational skills marketing/advertising experience teaching skills
public speaking Microsoft Word Microsoft Excel Internet blogging
retail sales merchandising/displays business management artistic abilities grant writing graphic design alternative health/wellness
Other    languages spoken  

9. WHY DO YOU WANT TO VOLUNTEER WITH US?
for academic credit to learn new skills for social interaction
to gain employment skills to stay active to support the Foundation
Other  

10. REFERENCES: Please list two references -- Past or present employers, teachers, coach, etc.
Name Relationship Phone Number