Volunteer Application Form -

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Volunteer Application Form

Personal Information
NOTE: All information on this form is confidential and is for office use only. Fields marked with are REQUIRED information and must be provided before submitting the form.*

Name *

First

Last

Birth Date (dd/mm/yy) *

Street Address *

City *

Postal Code *

Telephone # (please include Area Code) *

Email Address *

Transportation *

Will you require parking? *

Yes No

Do You Have Any Special Needs We Should Be Aware Of? *

Yes No

If YES, please specify... *

SHIFT AVAILABILITY (please check all that apply):

Monday *

AM PM

Tuesday *

AM PM

Wednesday *

AM PM

Thursday *

AM PM

Friday *

AM PM

PREFERENCES:

Time of Day *

Mornings Afternoons

Frequency *

Regular Shifts Occasional Shifts

Comments / Skills / Interests *

Emergency Contact (in Edmonton):

Name *

Telephone # *

Relationship *

VOLUNTEER OPPORTUNITIES (please check any & all areas of interest):

*

Administration Back Office Assistant Front Office Assistant Thrift Store Crafter (in Home) Crafter (at Centre) Services / Clinics (if yes, provide details below) Instructor (if yes, provide details below)

*

Special Events Newsletter Committee Income Tax Preparation (Spring) Special Events Coordinator Fundraising Events Entertainment Library Instructor (if yes, specify below) Other (please provide details below)

*

Outreach Assistant Hot Lunch (Set-Up/Serve/Clean) Bingo Caller Bingo Cashier Baker (in home) Baker (at Centre) Casino (every 2 years) Program Committee

Provide details for services/clinics, instructor or other here: *