Volunteer Application Form Section I (required)Personal InformationName *Address *City/Town *Province *Postal Code *Email *Home Phone: *Mobile: Age (check one): *Under 2526-3536-4546-5556-65over 65Month of Birth: *Area(s) of Work Experience *EducationEducation Background: *Some High SchoolHigh SchoolSome CollegeCollegeSome UniversityUniversityCollege Certificate: University Degree: Post Graduate: Emergency ContactName Relation Street Address Town/City Province Postal Code Phone Cell Is there any medical information you would like to share with us? I choose I choose not to provide emergency contact information to GatewayBackgroundCurrent Occupation: *Area(s) of Work Experience/Leadership/Special Skills or Interests *Do you speak another language? *YesNoIf Yes, which ones? Do you have access to a car? *YesNoOther transportation? How did you hear about the Gateway Centre For Learning? NewspaperMagazineRadioInternetSignsWord of MouthOtherIf Other, please specify Availability8 am - 12 noon MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in the morning12 noon - 4 pm MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in afternoon4 pm - 9 pm MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in the eveningOther: How many hours a week do you think you would like to volunteer? Is there a time of year when you are unavailable? If so, when? Areas of InterestPlease choose your top 3 areas and number from most interest (1) to least (3) Adult Tutoring Bingo Sessions Office Support Bookstore Board of Directors Committees Fundraising Computer Support Social Media Support RecognitionHow do you like to be recognized? Thank You CardsSocial GatheringsGiftsCertificatesPersonal EmailsFace-to-FaceOtherOther: (Please Specify) ReferencesPlease provide us with two references (non-family members) 1. Name: *Phone: *2. Name: *Phone: *I give Gateway Centre for Learning permission to contact my references: *YesNoDate Human VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: