Volunteer Application First Name (required) Last Name (required) Primary Address City Postal Code Province OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutPrince Edward IslandQuébecSaskatchewanYukon Email (required) Phone number (required) Alternate number Secondary Address (for students, provide your local address) City Postal Code Province> OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutPrince Edward IslandQuébecSaskatchewanYukon Birthday Person to Notify in Case of Emergency First Name (required) Last Name (required) Primary Address City Postal Code Province> OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutPrince Edward IslandQuébecSaskatchewanYukon Email (required) Phone number (required) Alternate number Relationship Availability (Saturday & Sunday shifts are 10-2) Please check which shifts you are available for volunteer assignments Monday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Tuesday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Wednesay 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Thursday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Friday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Saturday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Sunday 8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm Are you available year-round? YesNo If no, please specify the months: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember How much time would you like to contribute to the Mark Preece Family House? (eg # of shifts per week or month) Area of Interest Please check which area(s) you are interested in volunteering House VolunteerHousekeeping VolunteerMaintenance VolunteerThyme4Dinner VolunteerSpecial Events VolunteerProfessional Service VolunteerOther - Please specify your area of interest Why are you interested in volunteering with the Mark Preece Family House? Special Skills and Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities including sports or hobbies. Previous Volunteer Experience Summarize your previous volunteer experience. References Name (required) Phone number (required) Email (required) Relationship/Place of Work Name (required) Phone number (required) Email (required) Relationship/Place of Work Agreement By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. The information provided through the volunteer application and screening process will remain confidential. I consent to the conditions. Please select today's date It is the policy of this organization to provide equal opportunities without regard to race, colour, religion, national origin, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us
