Volunteer Application Form

Section I (required)

Contact Information

• Name *
• Address *
• City/Town *
• Province *
• Postal Code *
• Phone *
• Mobile
• Email *
• Preferred Method of Contact *
  PhoneEmailText

Age

• Please select an age range. *Under 2526-3536-4546-5556-65Over 65

Education Background

• Please select a level of education. *Some High SchoolHigh SchoolSome College/UniversityCollege Certificate/DiplomaUniversity DegreePost Graduate Degree
• Area of Study

Work Background

• Current/Previous Occupation *
• Area(s) of Work Experience/Leadership/Special Skills or Interests *

Other Information

• Do you speak another language? *
  YesNo
• If Yes, which ones?
• Do you have access to transportation? *
  YesNo
• How did you hear about Gateway Centre for Learning? *
  NewspaperRadioInternetSignsWord of MouthOther
• If Other, please specify

 

Section II

Hours of Availability

• 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

Area(s) of Interest

• Please select the area(s) you would be interested in volunteering.
  Adult TutoringBookstoreBingoBoard of DirectorsCommitteesComputer SupportFundraisingOffice SupportSocial Media

Recognition

• Please select the ways you like to be recognized as a volunteer.
  CertificatesFace-to-FaceGiftsPersonal EmailsSocial GatheringsThank You Cards
• Other:

Emergency Contact

• 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.

References

• 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

• Please enter any two digits *Example: 12
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