Volunteer Application Form

Section I (required)

Personal Information

• Name *
• Address *
• City/Town *
• Province *
• Postal Code *
• Email *
• Home Phone: *
• Mobile:
• Age (check one): *
  Under 2526-3536-4546-5556-65over 65
• Month of Birth: *
• Area(s) of Work Experience *

Education

• Education Background: *
  Some High SchoolHigh SchoolSome CollegeCollegeSome UniversityUniversity
• College Certificate:
• University Degree:
• Post Graduate:

Emergency Contact

• Name
• 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 Gateway

Background

• Current Occupation: *
• Area(s) of Work Experience/Leadership/Special Skills or Interests *
• Do you speak another language? *
  YesNo
• If Yes, which ones?
• Do you have access to a car? *
  YesNo
• Other transportation?
• How did you hear about the Gateway Centre For Learning?
  NewspaperMagazineRadioInternetSignsWord of MouthOther
• If Other, please specify

Availability

• 8 am - 12 noon
  MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in the morning
• 12 noon - 4 pm
  MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in afternoon
• 4 pm - 9 pm
  MondayTuesdayWednesdayThursdayFridaySaturdaySundayNot available in the evening
• Other:
• 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 Interest

• Please 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

Recognition

• How do you like to be recognized?
  Thank You CardsSocial GatheringsGiftsCertificatesPersonal EmailsFace-to-FaceOther
• Other: (Please Specify)

References

• Please 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: *
  YesNo
• Date

 

Human Verification

• Please enter any two digits *Example: 12
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