BACKGROUND INFORMATION
Education (include highest grade completed, high school, college,
universities, relevant courses or
training)_________________________________________________________________________
______________________________________________________________________________
Employment (present position, related work
experience)_________________________________________________________________________
______________________________________________________________________________
Previous Volunteer Experience (length of experience, skills learned,
views of volunteer
work)_________________________________________________________________________
______________________________________________________________________________
Additional Community Involvement
_________________________________________________________________________
______________________________________________________________________________
Recreation/Hobbies
_________________________________________________________________________
______________________________________________________________________________
AVAILABILITY
VCARS is a 24-hour, seven day a week, on call service.
When are
you available to volunteer?
Day
shift: 8:00 am. to 4:00 pm. _____
Over night: 4:00 pm. to 8:00 am. _____
Weekend: Friday 4:00 pm. to Monday 8:00 am. These shifts can be
flexible. _____
How
many days (shifts) can you do in a month ______ (at least 2
shifts per month required)
How long of a commitment could you realistically make to this
service?___________(VCARS recommends at least 12 months.)
Why would you like to volunteer for Cochrane - Smooth Rock Falls
VCARS?
_________________________________________________________________________
_________________________________________________________________________
REFERENCES : Known to you for at least 1 year.
(Example: employers, co-workers, friends, etc.) No
family please and at least 1 past/present employer.
Name:_______________________________
Relationship:__________________________
Telephone (home):_____________________ Telephone
(work):_____________________
Street Address:________________________ City,
Province:________________________
Postal Code:__________________________
Name:_______________________________
Relationship:__________________________
Telephone (home):_____________________ Telephone
(work):_____________________
Street Address:________________________ City,
Province:________________________
Postal Code:__________________________
Name:_______________________________
Relationship:__________________________
Telephone (home):_____________________ Telephone
(work):_____________________
Street Address:________________________ City,
Province:________________________
Postal Code:__________________________
As part of the volunteer screening process you will have to consent
to a background check, including a criminal record check with the OPP.
Upon receipt of your application, we will contact you to make interview
arrangement.
Applicant’s Signature: ___________________________________
Date: __________________________