Volunteer Application Form - Little Mountain Page 2
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2Volunteer Application Form
Here are some of our volunteer opportunities. Please
anything that interests you:
Community walks
Gardening
Art therapy Assistant
Community Bus Outings
Group exercises
Music therapy Assistant
Special Breakfast
One to one visits
Special events
Other:_________________
“I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO
THE BEST OF MY KNOWLEDGE”
Signature:
Date:
Please scan/email, mail, or fax your completed application to:
Jennifer Gilchrist
Volunteer Coordinator
ADANAC PARK LODGE
851 Boundary Road, Vancouver, BC V5K 4T2
Tel: (604) 299-7567 - Fax: (604) 299-7424
Thank you for considering to share your time and talent with our community!
The information you provide on this form is considered confidential by Little Mountain Residential Care and Housing Society and
will only be used to manage the application, selection and coordination of volunteers within this society. The information is used for
pre-screening, checking references, as well as recording home and emergency contact information. This form is kept on file by the
Volunteer Resources Department for all active volunteers and will be destroyed 5 years after a volunteer resigns.
The form is used only by Volunteer Resources, and is distributed to potential volunteers by Volunteer Resources staff, as well as
by program staff and front desk clerks.
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