Volunteer Application

    First Name (required)

    Last Name (required)

    Primary Address

    City

    Postal Code

    Province

    Email (required)

    Phone number (required)

    Alternate number

    Secondary Address (for students, provide your local address)

    City

    Postal Code

    Province>

    Birthday

    Person to Notify in Case of Emergency

    First Name (required)

    Last Name (required)

    Primary Address

    City

    Postal Code

    Province>

    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

    Tuesday

    Wednesay

    Thursday

    Friday

    Saturday

    Sunday

    Are you available year-round?

    If no, please specify the months:

    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

    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.

    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