“Lend a Hand” YOU can make a difference!

Thank you for volunteering in your community. Volunteers are important because they help non-profit organizations to continue offering invaluable services and programs to the community. We are excited for you that will contribute your time, skills, and resources to make a difference in our community.

Thank you for completing this application. Please print clearly. All information gathered will be kept confidential and will be used only by Whitevalley Community Resource Centre.

First Name: *

Last Name: *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Primary Phone Number: *

Secondary Phone Number:

Work Phone:

Email *

Preferred Contact Method: *

Phone
Email

Valid Driver's License *

No
Yes

Do you have a current Criminal Record check? *

No
Yes

Profile Summary

Are you currently employed?

No
Yes

Name of Employer: *

First

Last

Previous Volunteer or Work Experience:

What special interest, skills, training or qualifications do you have that you would like to use in your volunteer role (accounting, public speaking, reception etc)

Indicate the type of volunteer work that interests you (Check all that apply)

Please indicate any health problem, limitations or dislikes, which may affect your volunteer work:

Other

(please specify)

Which computer software skills do you have? (Word, Excel, Publisher, Power Point, etc)

What is your availability? Check all that apply:

Please check all the times that you are available:

References

Please provide 2 references; Present or former employers, Education Institutions, or acquaintances that have known you for at least two years

References 1

Reference 1

Name: *

First

Last

Relationship to Applicant:

Phone:

Email: *

References 2

Reference 2

Name: *

First

Last

Relationship to Applicant:

Phone:

Email: *

Is there any specific training or experience you would like to gain?

Any further comments or information: