Volunteer Application

Name *

First

Last

Address

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

Email *

Phone Number *

###

####

Occupation

Days Available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any

Hours Available

For specific Day/Hour availability, please enter information below.

What date are you available to start volunteering? *

YYYY

Present or Previous Volunteer Experience:

Areas of Interest:

Training Courses (First Aid, CPR, Food Safe, Serving it Right):

Special Skills (ie: typing, computer, arts):

Languages

Spoken

Written:

Interests/Hobbies:

Please enter your Interests/Hobbies below

I Prefer to Work With

Preschoolers

Children

Teens

Adults

Seniors

Type of Volunteer Work Desired (if known)

PP Teen Program

Kitchen

Class 4 Drivers

Income Tax

Youth Drop-in

Seniors Programs

Special Needs Teen Club

Special Events

Preferred Location:

North Shore Neighbourhood House

John Braithwaite Community Centre

How Did you Hear About Our Organization?

Reason for Seeking Volunteer Work With This Organization:

Do you need hours for school/post secondary program requirements?
Which program and how many hours?

Many of our Programs require a Police Record Check. Do you agree to this?

Yes

References:
Name/Title Address Phone

Emergency Contact
Name/Phone

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...Worthwhile place in the community for all to enjoy....

225 east 2nd street
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north vancouver
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bc
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v7I 1c4
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tel: 604.987.8138
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fax: 604.987.2107
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contact us
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