Volunteer Application Form

If you are human, leave this field blank.

Section I (required)

Name

Address

City/Town

Province

Postal Code

Phone

Mobile

Email

Preferred Method of Contact

Phone

Email

Text

Please select an age range.

Under 2526-3536-4546-5556-65Over 65

Please select a level of education.

Some High SchoolHigh SchoolSome College/UniversityCollege Certificate/DiplomaUniversity DegreePost Graduate Degree

Area of Study

Current/Previous Occupation

Area(s) of Work Experience/Leadership/Special Skills or Interests

Do you speak another language?

Yes

No

If Yes, which ones?

Do you have access to transportation?

Yes

No

How did you hear about Gateway Centre for Learning?

Newspaper

Radio

Internet

Signs

Word of Mouth

Other

If Other, please specify

Section II

Monday

How many hours a week would you like to volunteer?

Tuesday

Is there a time of year when you are unavailable?

Wednesday

Thursday

Friday

Saturday

Sunday

Please select the area(s) you would be interested in volunteering.

Adult Tutoring

Bookstore

Bingo

Board of Directors

Committees

Computer Support

Fundraising

Office Support

Social Media

Please select the ways you like to be recognized as a volunteer.

Certificates

Face-to-Face

Gifts

Personal Emails

Social Gatherings

Thank You Cards

Other:

Name

Relation

Phone

Cell

Do you have any medical conditions that we should be aware of?

I give permission to Gateway Centre for Learning to contact and share medical information with my emergency contact in the event that I am incapacitated and unable to do so.

Please provide us with two references (non-family members)

1. Name

Phone

2. Name

Phone

I give Gateway permission to contact my references.

Human Verification *

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