Name:                 

Age:               

Address:       

City:               

Home Phone:

Work Phone: 

Province:       

Email:             

Languages:
English (Speak) 
English (Write)  
French (Speak) 
French (Write)  

SKILLS, EXPERIENCE, INTERESTS:

Present/Previous Employment, Community or Volunteer Involvement:

What type of volunteer work interests you? Check all that apply:

Clerical Training Special projects Board Member
Website Income tax program Volunteer interviewer
Database Bingo

Other:

I am interested in volunteering:

Virtually Special events On site

EDUCATION:

Please give a brief outline of your educational background:

Reference:

Name:           
Address:       
Telephone:   

Name:           
Address:       
Telephone:   

Name:           
Address:       
Telephone:   

Availability:

Please mark the time available for each day:

Monday       
Tuesday       
Wednesday
Thursday    
Friday         
Saturday    
Sunday        

How did you hear about the Volunteer Bureau?

Community services Phone book Radio/ TV
Word of mouth Poster/Brochure Newspaper
Website    Other:

Why are you interested in volunteering?

What do you hope to gain from your volunteer experience?

DECLARATION:

I hereby declare that the above information is true and complete to the best of my knowledge.  I understand that a false statement may disqualify me from further consideration as a volunteer or result in dismissal.

YES              NO

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