Volunteer Application Form - Little Mountain

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CLEAR
Volunteer Application Form
Date:
___________
Preferred First Name _______________________
Last Name:
Legal First Name: _________________________
Address:
City:
Postal Code:
Telephone Numbers:
Home:
Cell:
Work:
Birthday: (month, day)
Email Address:
_________
Occupation:
Are you a student? If so, where & what year/grade?
Previous employment and volunteer experience:
Languages: spoken
written
Skills you wish to share:
Why do you want to volunteer with us? ___________________________________
Who should we contact in the event of an emergency?
Name:
Relationship:
Phone Numbers:
Please list 2 references, not friends or family.
(Note - these individuals will be contacted.)
Attach any current letters of reference to this form.
1. Name: ________________________________ Email: ______________________________________
How do you know this person? ____________________________ Phone: _______________________
2. Name: ________________________________ Email: ______________________________________
How do you know this person? ____________________________ Phone: _______________________
Length of commitment:
4 months
6 months
1 year
other:
Times Available
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Please list, under each day,
your available hours, i.e.
Tuesdays 12 – 4 pm

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