Veronica Glac

 Volunteer Application Form Thank you for your interest in volunteering with us! Our volunteers are an integral part of our remarkable teams. Volunteers support professional staff, enhancing their ability to provide the best care. Regardless of how you volunteer with us, we work hard to make it a rewarding experience for you. The personal information you provide to us on this form is required for you to become a volunteer and it is governed by the Freedom of Information and Protection of Privacy Act (FIPPA). Your information will be kept confidential and may be shared only with volunteer office staff. CONTACT INFORMATION First Name: Last Name: Veronica G Phone (Cell): Phone (Home): Phone (Work): 555-555-5555 NA Email: [email protected] Address: Number and Street Name: 5 Holly Place Apt./Suite/Unit: Click here to enter text. City: Brampton Postal Code: L6S 1E3 Position applying for: Click here to enter text. Do you have a history with us? Client: EMERGENCY CONTACT INFORMATION First Name: Last Name: RogerPerryman Phone (Cell): Phone (Home): Phone (Work): 999-999-1234 Click here to enter text. Click here to enter text. EMPLOYMENT/VOLUNTEER EXPERIENCE Organization Position Title Dates of Employment Region of Peel Payroll Officer Jul 2013-Jan 2014 Region of Peel Benefit Analyst Jul 2011-Jun 2013 EDUCATION INFORMATION Course/Program Diploma/Degree/Certificate Obtained Educational Institution Business Administration Diploma George Brown College Click here to enter text. Click here to enter text. Click here to enter text. Additional skills/training: Click here to enter text. What are your reasons for wanting to volunteer? Give back to the community, make a difference, gain knowledge of local resources, use my skills to benefit others Describe any previous relevant volunteer experience: Volunteered at the Georgetown Senior Centre - receptionist What do you hope to get from your volunteer experience at CFSPD? Learn new things and make new friends How did you hear about us? Other(please specify) Click here to enter text. LANGUAGE ABILITY Our clients speak a variety of languages, if you are able to communicate in a language other than English please list your ability below. Speaking Ability Reading Ability Writing Ability Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. AVAILABILITY Which days and times you are available to volunteer. (Check all that apply) Mon Tues Wed Thurs Fri Sat Sun Morning (Up to 12 pm) ☐ ☒ ☒ ☒ ☐ ☐ ☐ Afternoon (12pm-5pm) ☐ ☒ ☒ ☒ ☐ ☐ ☐ Evening (After 5pm) ☐ ☐ ☐ ☐ ☐ ☐ ☐ Are there any time(s) of the year you are unavailable to volunteer? No but I may take 1-2 (week long) vacations in winter and summer How long are you available for? Other (Please Specify): Click here to enter text. Please identify the role(s) that interest you. (Check all that apply) Administrative ☒ Fundraising ☐ Public Speaking ☐ Marketing/Promotions ☐ Counselling ☐ Event Management ☐ Mentoring ☐ Boards/ Committees ☐ Does your current employer have (check all that apply): Program for Volunteering ☐ Donation Matching Program ☐ Grant preference to organizations where you volunteer ☐ Not Applicable ☒ Have you ever been convicted of criminal offence for which a pardon has not been granted? Yes ☐ No ☒ All volunteers are required to have a Vulnerable Sector police record check to ensure the safety of our clients, staff, and volunteers. However, an existing criminal record does not mean you will be disqualified from consideration. Based on the nature of the offense, a suitable position may be available. Agreement: By signing below, you acknowledge that the information provided is true and accurate. Signature: Signature of parent/guardian (if under 18): Date: Click here to enter text. Please return completed application form along with your resume to the CFSPD volunteer office.