Become a Volunteer

Gender

MaleFemale

IN CASE OF EMERGECY

Age Group

16-1819-2627-4546-6465-7475 +

COVID-19 VACCINATION STATUS

Double DosedSingle DosedNot Vaccinated

EDUCATION & WORK EXPERIENCE

Is English your First Language

YesNo

AVAILABILITY

Please indicate what days suit your schedule for volunteering

MondayMorningAfternoonEvening

TuesdayMorningAfternoonEvening

WednesdayMorningAfternoonEvening

ThursdayMorningAfternoonEvening

FridayMorningAfternoonEvening

SaturdayMorningAfternoonEvening

SundayMorningAfternoonEvening

PREFERENCES

Is there a particular type of volunteer work in which you are interested?

Are you willing to make a 60 hour commitment

YesNo

Please check all that apply

Boutique Cashier and SalespersonBoutique SorterAdult Day Program HelperDementia care one to one visitsSpiritual Care VolunteerEntertainer/MusicianSpecial Events and Projects for GroupsPet Therapy visitsWalking BuddyRecreational Program HelperOther

BACKGROUND VERIFICATION

Have you ever been convicted of a criminal offense

YesNo

Please list two non-family references whom we may contact
(i.e., personal, business, school or volunteer related)

REFERENCE ONE

REFERENCE TWO

Which is the bigger number, 3 or 7?