Volunteer Thank you for applying to become a volunteer with us. Please note that this application will take approximately 10 minutes to complete. 1 Personal Info.2 Employment3 Volunteer Info.4 Education5 Recruitment Info.6 References First Name*Last Name*Email*Please enter your person e-mail address Enter Email Confirm Email Date of Birth* MM DD YYYY Gender*MaleFemaleCulture / EthnicityLanguage(s) spokenAddress* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home Phone #:*Work Phone #:May we call you at work?YesNoCellular #:Do you have a significant other?YesNoEmergency Contact*Phone #:*Available Volunteer OpportunitiesVolunteer OpportunitiesPlease select your program of interest Traditional Big Brother/ Big Sister Couples Matching In School Mentoring Big Bunch Other If you are applying along with others from the same group please specify the group here: (ie: church group, company, school group or organization) Are you currently employed?*If you are currently unemployed or are a student, please click no and write "unemployed" or "student" in the Occupation box.YesNoOccupation*Company Name*Length of time at present employment:0-6 months7-12 months13-24 months25 or more monthsType of EmploymentFull TimePart TimeContractShift Work Have you ever applied to be a volunteer with us?*YesNoWhere did you apply?*When did you apply?*Please enter year (YYYY)Please enter a value between 1900 and 2999.Have you ever applied/volunteered with any other child/youth serving program?YesNoPlease provide the agency name and dates:Please list any other clubs, churches, organizations, or associations you are involved with: Please indicate your highest level of education completed:High SchoolVocational TrainingUniversity DegreeCollege DiplomaMastersPhDSome Post SecondaryCourse of Study: How did you hear about us? Always Known Brochure Business / Corporate Information Booth Newspaper / Written Word Presentation Radio Social Media Special Event Television Website Word of Mouth Volunteer Reference ListAs a part of the application process, we require you to provide three references, all people must have known you for more than two years otherwise you will need to provide a fourth reference.1. Family MemberName* Phone 1*Phone 2Work #Email Relationship to you*How long have you known this person?*1. Significant OtherName* Phone 1*Phone 2Work #Email Relationship to you*How long have you known this person?*2. Friend (known you for at least two years)Name* Phone 1*Phone 2Work #Email Relationship to you*How long have you known this person?*3. TeacherName* Phone 1*Phone 2Work #Email Relationship to you*How long have you known this person?*3. EmployerName* Phone 1*Phone 2Work #Email Relationship to you*How long have you known this person?*4. Fourth OptionName Phone 1Phone 2Work #Email Relationship to youHow long have you known this person?4. Volunteer ReferencePlease provide a reference from your previous volunteer experience.Name Phone 1Phone 2Work #Email Relationship to youHow long have you known this person?Permission and ReleasePremission*I hereby waive the right to request disclosure of the personal reference information given about me by the individuals indicated above and I authorize the above listed references to be contacted by us in accordance with the Volunteer Permission and Release Form.YesCaptchaPlease enter the above characters
