Volunteer Profile - Application Form

Part 1 – Volunteer Information
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City Province / State

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

Area Code Phone Number
Phone Number (Mobile)

Area Code Phone Number
Birth Date *

Day Month Year
Do you have any medical limitations? *

No Yes
Please describe:
Do you have any accessibility requirements? *

No Yes
Please describe:
Languages spoken *

English French
Part 2 – Emergency Contact Information
Full Name *

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

Area Code Phone Number
Phone Number (Other) *

Area Code Phone 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 opportunity I 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). *

Administration Arts Children & Family Education Finance Marketing Military Sales & Fundraising Sports & Recreation
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). *

DAYS (0600-1600)

EVENINGS (1600-2300)

OTHER

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY