VON Erie St. Clair Volunteer Application Form | VON Erie St. Clair

Last Name *

First Name *

Initial

Mailing Address

Street *

Apt #

Town/City *

Province *

Postal Code *

Day Telephone

Evening Telephone

Cell

Email *

For Students - Home Address if different from above

Street

Apt #

Town/City

Province

Postal Code

Emergency Contact #1 *

Day Telephone

Cell

The above 2 telephone numbers should differ from Volunteer's

Emergency Contact #2

Day Telephone

Cell

Languages Spoken *

EN

FR

Other

Please describe other

Programs/Activities for which you have an interest in volunteering *

Please select all that apply

Section 2: Volunteer Assessment

Employment and Volunteer History

(information used for matching with client)

Current Occupation *

Employer *

Previous Employment *

Volunteer Experience *

Relevant Training/Experience *

Volunteer Interest

Where did you hear about VON volunteer programs? *

What appeals to you about volunteering with VON? *

What goals do you have for this volunteer experience? *

Do you have a geographic preference for where you volunteer? *

Yes

No

If yes, please indicate where

Are you willing to drive as part of your volunteer duties for VON? *

Yes

No

If yes, do you have a vehicle available for your use?

Yes

No

If yes, what type of vehicle?

Do you have any health concerns that might affect your ability to perform a volunteer role at VON (e.g. allergies, physical limitations) *

Volunteer Availability

How much time would you like to contribute to VON? (e.g. hours per week or month) *

Section 3: Character Reference & Police Records Check

To ensure the safety of our clients, VON carefully screens all volunteer applicants. As part of this process, you are required to provide two character references from people who are not related to you. Depending on the position applied for a police records check may also be required. We will process your application upon receipt of your character references and police records check.

Name of Reference #1 *

Organization/Title (if applicable)

Address (if applicable)

Day Telephone *

Name of Reference #2 *

Organization/Title (if applicable)

Address (if applicable)

Day Telephone *

If you are asked to provide a Police Records Check would you be willing to do so? *

Yes

No

Section 4: Authorization

The information provided through the volunteer application and approval process is confidential and will be used only for the administration of your application and resulting volunteer work with VON. Your completion and signature of this application form authorizes VON to contact your references. By checking 'I agree', you are agreeing to the above.

I agree *

I agree