M1N
3J7
Tel: (416)
396-4310
Fax: (416)
396-4314
___________________________________________________________________________
Volunteer
Information
Date (dd/mm/yy): / /
Mr/Miss/Mrs./Ms
Last Name:
First Name:
Street
Address:
City:
Postal
Code:
Home
Phone: (
)
Business (other) Phone: ( )
Age
(check one) : (13-18)
(19-30) (30-50)
(50-60)
(65+)
Present
Occupation:
Do
You Have a Drivers Licence? Do
You Have access to car?
Identify
Spoken or Written Languages:
Educational
Diplomas:
Special Skills (please circle all that apply):
Group Leadership Computers Organizing Events
Performing Cleaning Child Care
Clerical Recreation Graphic Design
Other
(Please specify):
Would
you Like to Volunteer:
regularly occasionally
When
are you available? Weekdays
Weekends
Mornings
Afternoons
Evenings
Holidays
Have
You Volunteered Before?
If yes, please describe your previous experience(s). (Attach resume if needed).
What kind of volunteer job are you most interested at present?
What do you hope to Accomplish by filling this volunteer position?
Please provide any additional comments or information you wish to share.