< Back to Volunteer Page

VOLUNTEER APPLICATION FORM

VOLUNTEER INFORMATION

Name

First Name

Last Name

Address

Town, Postal Code

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

Do you identify as indigenous?

Is English your first language?

Are there any other languages you speak fluently?

EMPLOYMENT INFORMATION

Place of Employment

Position

If retired, previous occupation

Do you have other skills or resources that might benefit your volunteer work at Muskoka Seniors?

Have you ever volunteered before?

If yes, please describe when and where.

PERSONAL INFORMATION

What are your hobbies and interests?

Why do you want to volunteer with Muskoka Seniors?

Emergency Contact

Emergency Contact Name

First Name

Last Name

Relationship

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

OPP VOLUNTEER SCREENING REQUIREMENT Please provide two references (i.e. previous agency where you volunteered, an employer or associate)

Name of Reference One:

Relationship

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

Name of Reference Two:

Relationship

Primary Phone Number

Secondary Phone Number

WHAT VOLUNTEER POSITIONS INTEREST YOU?

Choice of Volunteer Positions

Please check as many positions as you wish.

Driver

Phone Caller

Home Visitor

Meals on Wheels

Social Connections

Community Engagement

Administration

Board Member

REFERRAL SOURCE - Name/Company