Volunteer Form

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Name:

Street Address:

Apt./Unit Number:

City:

Province:

Postal Code:

Telephone Number (Day):

Telephone Number (Evening):

E-mail Address:

Preferred Form of Contact:

Please describe:

Talents, interests, groups or clubs you are a part of:

Strengths and skills:

Spoken languages:

Educational background (program/area of study):

Special training and certifications:

Previous Volunteer/Employment Experience:

Organization	Position Held	Length of Involvement

Why do you want to volunteer at Gillian's Place?

What do you hope to gain?

Please select all areas of volunteering you are interested in:

Administrative

Child and Youth

Fundraising and Events

Shelter Care and Maintenance

Other

Availability to Volunteer

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
From
To

How many hours would you like to volunteer per week/month?

Comments

I understand that, if accepted, I am committing to act in accordance with the mission and values, policies and procedures of Gillian’s Place. I understand that my placement as a volunteer may be terminated at any time at the discretion of the agency. I understand that a current Police Record Check must be provided.