YORK REGION
My Volunteering Story Form

We want to hear your volunteering stories of why you volunteer with St. John Ambulance York Region and how you volunteer!

REMEMBER:

We are NOT looking for essay answers. Just brief direct answers.

For more detailed information on this campaign, visit: HERE

What VOLUNTEER role of St. John Ambulance are you wanting to share? *

Do you AGREE to sign our PHOTO / VIDEO RELEASE FORM?
(This is another form you will complete separately. in the My Volunteering Story campaign) *

YES

NO

THANK YOU!

PLEASE NOTE! - You MUST agree to complete our Online PHOTO / VIDEO Release Form in order to be eligible to participate as an entrant in this campaign.

Are you OVER the age of 18 years?
(Participants under 18 years old require parental permission) *

YES

NO

PLEASE NOTE! - You MUST have a Parent / Guardian complete their information section and agree to also sign our Online PHOTO / VIDEO Release Form in order to be eligible to participate as an entrant in this campaign.

- - - Your Contact Information - - -

FIRST Name *

LAST Name *

TELEPHONE # *

E-MAIL Address *

Want to keep connected with St. John Ambulance? Our E-mail Updates.

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- - - Complete if PARENT / GUARDIAN - - -

(YOUTH Program -or- *THERAPY DOG Participants under 18yrs in spcial circumstances)

Parent / Guardian FIRST Name *

Parent / Guardian LAST Name *

What is the AGE of your Child / Young Adult? *

Parent / Guardian HOME Telephone #

Parent / Guardian CELL Telephone # *

Parent / Guardian E-MAIL Address *

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How long have you been volunteering at St. John Ambulance?
(Years) *

Provide us your own completed "My Volunteering Story" you wish to publish.
Please tell us your story in NO LONGER than 1,080 characters with spaces.
(Or complete the following questions below and we will help your tell your story)

0/1080 characters

In your own words, how do you contribute to Community Service in York Region?
(AMFR / Therapy Dog / FA Educator / Youth / CS Educator) *

What inspired you to volunteer? *

What do you like best about volunteering? *

What is your most rewarding volunteer memory? *

- - - THERAPY DOG VOLUNTEER QUESTIONS - - -

Name of your Dog? *

Age of Dog? *

Breed of Dog? *

Dog Gender? *

Tell us about your Canine Team member? *

Was there a good question we should have asked in this interview that we missed? If YES, add the question we missed here and answer it so we can learn more! - Thank You

PHOTOS - Would you like send us 3 of your best volunteering photos now?
Please ensure your photos submitted follow these requirements:

- You are the focus in the photo
- No other people appear in the photo
- You are in your proper uniform with ID's
- Female/Male MFR’s - Long hair in duty format
*

YES

NO

PHOTO #1
(Please select your photo from a PC file or from your camera roll)

PHOTO #2
(Please select your photo from a PC file or from your camera roll)

PHOTO #3
(Please select your photo from a PC file or from your camera roll)

What region do you generally volunteer within? *

Where did you learn out about this campaign? *

Any Other Comments / Additional Information
(We are always looking for new suggestions)

Thank You!

Upon pressing the SUBMIT button below, you will be emailed a copy of all your responses and you will be directed to our Online PHOTO / VIDEO Release Form.

YORK REGIONMy Volunteering Story Form

YORK REGION
My Volunteering Story Form