Volunteer Application
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Name:
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Gender
male
female
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I am at least 18 years of age
yes
no
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Email Address:
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Mailing Address:
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Phone Number:
Other Number:
Field of study or work:
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School or employer:
Hours Available:
(Minimum of four months)
Morning
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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How did you hear about The Yellow Door?
Word of mouth
Website
Volunteer Fair
Volunteer Bureau
Other
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I want to volunteer at the Yellow Door because:
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Do you have volunteer experience?If so what type of volunteering did you do?
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Do you have experience working with seniors?
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Other info about you: interests, hobbies, skills, languages you speak
Which type(s) of volunteer work would you like to do?
Yes
No
Friendly Visiting (3 hrs/week)
On-call Accompaniments (as needed)
Ongoing Accompaniments (1 per week)
On-call Friendly Favours (as needed)
Social Club ( 2.5 hrs/week)
Internet Project (2hrs/week)
Office Work/Special Projects
Fundraising (2 hours a week)
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Please list two references that we may contact. Professional references only (for example a teacher or employer. No friends or family please)
Reference #1
Reference #2
Name:
Relationship:
Address:
Email:
Telephone:
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Indicates Response Required
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