Volunteer

GENERAL INFORMATION

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Layout

Home Phone

Work Phone

May we call you at work?

Yes
No

Layout

Fax

Cell Phone Number

Other

Email Address: *

Preferred Contact method:

Valid Drivers License:

Yes
No

If Yes, Class:

APPLICANT PROFILE QUESTIONS

Have you ever been employed by, or volunteered with, HAC?

Yes
No

If yes, please specify where, when, and your position or role.

List any previous and/or current volunteer activities outside HAC:

How did you hear about the volunteer needs of HAC? (Check all that apply)

Other (Please Specify)

Describe your main reasons for wanting to volunteer. (Check all that apply)

Other (Please Specify)

Indicate the type of volunteer work that interests you. (Check all that apply)

Other (Please Specify)

What is your availability? (Check all that apply)

Other (Please Specify)

Check all the times that you are available:

Morning

Afternoon

After 5pm

Are you currently employed?

Yes
No

Position/Title:

Employer:

Employer Address:

Can you provide a resume?

Yes
No

Resume Upload

Click or drag a file to this area to upload.

If not, please provide a list of your work experience:

What special skills, training or qualifications do you have that you would like to use in your volunteer role? (e.g.,accounting, public speaking, teaching, organizing, computer hardware)

Which computer software programs do you have experience with? (e.g., Microsoft Word)

What languages do you speak?

Language

Checkboxes

Speak
Read
Write

Language

Checkboxes

Speak
Read
Write

Language

Checkboxes

Speak
Read
Write

REFERENCES

Present or former employer/volunteer agency

Name: *

First

Last

Address:

Telephone Number:

Relationship to Applicant:

Educational institution

Name: *

First

Last

Address:

Telephone Number:

Relationship to Applicant:

Acquaintance

Name: *

First

Last

Address:

Telephone Number:

Relationship to Applicant:

I certify that the information in this application is correct and complete. I give my permission to the Horizon Achievement Centre to contact the above references. I understand that I will be advised in advance if a criminal record check and/or a driver’s abstract is required. I understand that if I am below the age of majority I must have my parent/guardian sign and provide their contact information.

Signature of Applicant

Clear Signature

Date

I am aware and support the applicants decision to volunteer with the Horizon Achievement Centre.

Name *

First

Last

Phone

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Signature

Clear Signature

Signature of parent/guardian of applicant below 19 yrs. of age

Date