Volunteer Profile - Application Form

Part 1 – Volunteer Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
E-mail Address*
Phone Number (Home)*

Area CodePhone Number
Phone Number (Mobile)

Area CodePhone Number
Birth Date*

DayMonthYear
Do you have any medical limitations?*

NoYes
Please describe:
Do you have any accessibility requirements?*

NoYes
Please describe:
Languages spoken*

EnglishFrenchOther
Part 2 – Emergency Contact Information
Full Name*

First NameLast Name
Relation to Volunteer*
Phone Number (Daytime)*

Area CodePhone Number
Phone Number (Other)*

Area CodePhone Number
Age of Volunteer*
If the volunteer is under the age of 18, please answer the following:*

I certify that I am the legal guardian of the minor applying for a volunteer opportunityI authorize this profile creation
E-mail address of legal guardian*
Part 3 – Volunteer Skills & Interests
Please indicate the skills that pertain to you (more than 1 option may be selected).*

AdministrationArtsChildren & FamilyEducationFinanceMarketingMilitarySales & FundraisingSports & RecreationOther
Please list any additional information or interests you would like to share with us about yourself.
Part 4 – Volunteer Availability

Please indicate your availability (more than 1 option may be selected).*