Volunteer Application Form - City of Vaughan, Ontario Canada

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T h e C i t y o f V a u g h a n
Volunteer Application
Please complete this application form and drop off at:
Personal Information:
Last Name:
First Name:
Home Address:
Apt. #:
City:
Province:
Postal Code:
Phone Numbers: (Home)
(Cell)
Email:
Emergency Contact:
Phone:
Have you ever been convicted of a criminal offence for which you have not received a pardon?
c Yes c No
Would you like your name added to the York Region Community Information and Volunteer Centre Database?
c Yes c No
Season Applying For:
Fall / Winter / Spring
Summer
Summer Camps
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Day & Time Available
Days
Days
to Work: Please check
appropriate box(es).
Evenings
Evenings
How many hours per week are you available?
Date Available to Start:
Preferred Volunteer Location: Please check one.
c City Hall
c Kleinburg
c Maple
c Thornhill
c Woodbridge
c No Preference
Preferred Work Setting: Please check all that apply.
c One-on-one
c In a Group
c Children
c Youth
c Adults
c Older Adults
c No Preference
Have you ever volunteered with the City before?
c Yes
c No
If yes, please describe:
Language(s) Spoken:
Education:
Are you presently a student?
c Yes
c No
Highest Grade Completed:
School:
Employment History:
List any volunteer or paid positions you’ve held related to the position you are applying for. Begin with the most recent.
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Confidential Document
For Internal Use Only
Page 1 of 2
T h e C i t y o f V a u g h a n
Volunteer Application
Please complete this application form and drop off at:
Personal Information:
Last Name:
First Name:
Home Address:
Apt. #:
City:
Province:
Postal Code:
Phone Numbers: (Home)
(Cell)
Email:
Emergency Contact:
Phone:
Have you ever been convicted of a criminal offence for which you have not received a pardon?
c Yes c No
Would you like your name added to the York Region Community Information and Volunteer Centre Database?
c Yes c No
Season Applying For:
Fall / Winter / Spring
Summer
Summer Camps
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Day & Time Available
Days
Days
to Work: Please check
appropriate box(es).
Evenings
Evenings
How many hours per week are you available?
Date Available to Start:
Preferred Volunteer Location: Please check one.
c City Hall
c Kleinburg
c Maple
c Thornhill
c Woodbridge
c No Preference
Preferred Work Setting: Please check all that apply.
c One-on-one
c In a Group
c Children
c Youth
c Adults
c Older Adults
c No Preference
Have you ever volunteered with the City before?
c Yes
c No
If yes, please describe:
Language(s) Spoken:
Education:
Are you presently a student?
c Yes
c No
Highest Grade Completed:
School:
Employment History:
List any volunteer or paid positions you’ve held related to the position you are applying for. Begin with the most recent.
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Employed by:
Position:
Employed From
to
MM/YY
MM/YY
Confidential Document
For Internal Use Only
Page 1 of 2
Qualifications/Related Experience:
Do you have a current Standard First Aid and CPR-C Certificate?
c Yes
c No
Type:
Have you completed your Bronze Medallion/Emergency First Aid?
c Yes
c No
Have you completed Mediator Training Workshop?
c Yes
c No
Please indicate any relevant experience, hobbies, courses, interests, etc.:
Please indicate any other relevant experience in working with special needs individuals:
Why do you want to become a volunteer?
Please indicate the name of the program or event that you would like to volunteer for (if known):
If not known, please indicate your area of interest (please check all that apply):
Parks:
Recreation Services:
Administrative/Other:
Community Participation
Arts
Animal Services
c
c
c
Dog Parks/Walking
Holiday Break Camps
Emergency Management
c
c
c
Nature/Trees
Special Needs
Special
c
c
c
Park Cleanliness
Summer Camps
One Time Events
c
c
c
Sports Programs
Aquatics
Other: ___________________________
c
c
c
Park Safety
Preschoolers
c
c
Playground Safety
Sports
c
c
Recreational/Leisure Activities
Youth Outreach
c
c
Fitness
Skateboard Parks
c
c
Older Adults
c
Personal References:
Please list the name, telephone numbers and/or email addresses of three non-family members who we may contact.
Name:
Phone:
Email:
Name:
Phone:
Email:
Name:
Phone:
Email:
I hereby certify that the information provided is correct, and any false statements made on this application will result in immediate termination of my volunteer
placement.
Personal information on this form is collected pursuant to the Municipal Act, 2001, S.O. 2001 c.25, as amended. It will be used to process your application form and
establish the suitability for volunteer placement. Questions about this collection should be directed to Human Resources, City of Vaughan, 2141 Major Mackenzie
Drive, Vaughan, Ontario L6A 1T1 905.832.8563.
Volunteer Applicant Signature:
Date:
Parent/Guardian Signature (for applicants under 18 years):
Date:
Confidential Document
For Internal Use Only
Page 2 of 2

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