Volunteer Application Form

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address*

Phone Number*

Attach your Cover Letter

Attach your Resume*

WORK EXPERIENCE*

Please list your last position first and indicate: A. Start/End Date B. Business Name C. Position Held

VOLUNTEER EXPERIENCE*

Please list your last position first and indicate: A. Start/End Date B. Business Name C. Postition Held

EDUCATION*

A. Level of Education B. Name of School (optional) C. Program & Licence/Diploma/Degree achieved

Describe the type of volunteer placement you are looking for:*

*Please check as many that apply to you

Day Program Support
Office Assistant
Informal Family Support
Summer Program Support
Special Project/Event
Volunteer Driver

Skills/Experiences/Courses Taken*

*Please check as many that apply to you

Please describe, in detail, any of the skills you have in the following areas: office administration, computer skills, or any other skills not listed:*

Interests*

Computers
Crafts
Gardening
Music
Outdoor activities
Reading
Sports

*Please check as many that apply to you

Other Interests*

Please share any other (or elaborate on ones above) that you may have.

Availability*

Weekdays: AM
Weekdays: PM
Weekdays: Evening
Weekend: Days
Weekend: Evenings

Please give specific time details if necessary:

How many hours would you like to volunteer each week?*

Languages: Spoken and/or understood*

Transportation*

I have a valid Driver's Licence
I have access to a vehicle
I have Liability Insurance
I am unable to drive

Emergency Contact Information

1. Name*

First Last

Phone Number*

2. Name*

First Last

Phone Number*

Understanding of Application

I understand that if/when I am called for an interview I will be required to bring 3 completed Reference Forms and my completed Criminal Reference Check (forms available on EAFWR website). I also declare that the information given above and all documents that I will sign are true. I understand that making a false statement on this form could result in termination of my employment if I am hired.

I understand*

Yes
No

Date*

EAFWR Volunteer Application/Availability Form

Emergency Contact Information

Understanding of Application