Application Form
Last Name
First Name
Date of Birth
Date of Application
Address
City
Province
Postal Code
Home phone
Alternate phone
E-mail
Educational
background
Occupational
background
Experience
Reasons for
volunteering
Service you can provide; area of interest
Disabilities which may hinder your performing certain tasks?
Availability
(ie. days, times, seasons)
Length of Time Commitment
References
At least 2 (non-family members) are required:
1. Name
1. Address
1. Phone
1. E-mail
2. Name
2. Address
2. Phone
2. E-mail
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