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GOOGLE TRANSLATE



Volunteer Application
Peel Branch

Thank you for inquiring about volunteer opportunities with our Branch. Please complete the application below and submit it.

Program of Interest Preferred Work Location
Eden Place Drop-In Centre
Resource Centre
Finance & Operations
Partnership Place
REBOUND Choices

Court Support Services
Youth Net

 

Brampton
Mississauga
Caledon (limited opportunities)
      (N.B. Sometimes the preferred location,
      program and days desired will not be
      available.)
Type of Work
Please check which volunteer job(s) you would like to pursue within our organization:
Clerical
Special Events
Fund Raising
Newsletter writer/Media relations
Self-help Facilitator
Displays/Health Fairs
Board of Directors

Other (please specify)

 

Library
Speaker
Youth Activities
Information and Referral
Interpreter
Client/Social Activities
Personal Information

Name: 

Home Address: 

City: 

Postal Code: 

Home Phone: 

Business Phone: 

E-mail Address: 

Present Occupation: 

Present Employer: 

Languages: 

   
Are you a licensed driver?  Yes     No     Class:
 
Access to a car?   Yes     No
   
Do you live and/or work in Peel Region?   Live     Work
   
Do you have any health considerations you fell may place a limit on the type of Volunteer Work you do?   Yes     No     If you do, please describe:
   
If required would you consent to a criminal record check?   Yes     No
 
Emergency Contact

Name: 

Address: 

Phone number: 

Relationship: 

   
Previous Volunteer Experience

Organization: 

Type of Work: 

Organization: 

Type of Work: 

   
Please include special skills, interests, hobbies, etc. which you feel may be useful to you as a volunteer with us:
   
Please include any additional information:
   
What do you hope to accomplish through volunteer work?

 

References
Please provide us with two personal references:
   

Name: 

Address: 

Phone number: 

Relationship: 

   

Name: 

Address: 

Phone number: 

Relationship: 

First Aid/CPR Training
Do you have First Aid training?
Yes     No
Do you have CPR training?
Yes     No
   
Is the training current?
Yes     No
Is the training current?
Yes     No
   
Interested in re-certification (if offered)?
Yes     No
Interested in re-certification (if offered)?
Yes     No
 
Availability
Please indicate the days and times that would be most suitable to volunteer:
   
  Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Morning

Afternoon
Evening
N/A
   
For what period of time are you available?
6 months     1 yr.     2 yr.     Other:
   
I, the undersigned, do certify that the information provided in this application is accurate and complete according to the best of my knowledge and I consent to disclosure of required information by employer(s), references, etc., stated herein. Furthermore, should I be accepted as a volunteer, it is my understanding that I will be provided with training, support and supervision.
   
Additional comments:
   
 
Please enter the letters as seen above before submitting: