Volunteer Application Form | Victim Services

Volunteer Application Form

In addition to this form you will be asked to provide three reference letters that include details about the length and type of your relationship to the reference. For example: employer, co-worker, student/teacher, friend of over five years, family member (only one), fellow community member (etc). Your reference should indicate they consider you to be suited to this type of volunteering and explain why. Letters must be received by us prior to the end of volunteer training.

Surname: *

Given Name: *

Date of Birth: *

Citizenship: *

All names used since birth: *

Home Address: *

Postal Code: *

Telephone Number: *

Email: *

How long have you been a resident of this area (in years):

Do you have a valid driver's license?:
yes

no

Driver's License #:

Do you own, or have access to, a vehicle that you can use for Victim Services?:
yes

no

Highest level of education attained:
High School

Post Secondary

Please list any relevant courses or training:

Are you currently employed?:
yes

no

Employer: *

Type of employment: *

Position: *

Please list your previous Volunteer Experience(s): *

Have you appliedto Victim Services in the past: *
yes

no

Do you foresee any situation that would prevent you from keeping your volunteer commitments?: *
yes

no

In order to effectively serve the needs of our communities, our volunteers make a year long commitment during which they are on call for 12 hours per week or 48 hours per month. Shift times start at 6AM; noon; 6PM; or midnight.

If yes, please explain:

What volunteer shifts would you prefer (check all that apply): *
Weekdays 6AM to noon

Weekdays noon to 6PM

Weekdays 6PM to midnight

Weekdays midnight to 6AM

Weekends 6PM to midnight

Weekends midnight to 6AM

Weekends 6AM to noon

Weekends noon to 6PM

Please list any organization(s), club(s), or civic group(s) you belong to:

Signature
By checking this box you are in agreement that this information is true and complete to the best of your knowledge. You understand that a false statement may disqualify you from further consideration as a volunteer or result in your dismissal.