Friendly Neighbour Hotline Volunteer Registration

AutoID
System Generated
Busy onTask

N Y
Date of Last Completed Task

Month Day Year
Date
Name *

First Name Last Name
Mobile Phone Number *
Email *
example@example.com
Volunteering Information
Please indicate which area(s) you are willing to provide your service (check all that apply): *

All of Toronto _ 1 - Etobicoke North _ 2 - Etobicoke Centre _ 3 - Etobicoke Lakeshore _ 4 - Parkdale-High Park _ 5 - York South-Weston _ 6 - York Centre _ 7 - Humber River-Black Creek _ 8 - Eglinton Lawrence _ 9 - Davenport _ 10 - Spadina-Fort York _ 11 - University-Rosedale _ 12 - Toronto-St.Paul's _ 13 - Toronto Centre _ 14 - Toronto-Danforth _ 15 - Don Valley West _ 16 - Don Valley East _ 17 - Don Valley North _ 18 - Willowdale _ 19 - Beaches-East York _ 20 - Scarborough Southwest _ 21 - Scarborough Centre _ 22 - Scarborough-Agincourt _ 23 - Scarborough North _ 24 - Scarborough-Guildwood _ 25 - Scarborough-Rouge Park _
Please indicate below all languages, beyond English, that you are able to speak:

Chinese (Mandarin) _ Chinese (Cantonese) _ Italian _ Punjabi _ Tagalog _ Spanish _ Portuguese _ French _ Hindi _ Urdu _ Farsi, Persian_ Arabic _ Somali _
Do you have a car or access to a car? *

Yes No
Have you or someone in your household travelled outside of Canada in the last 14 days ? *

Yes No
Please indicate below all languages that you are able to speak:
Please indicate the times you are able to help (between 9 AM and 6 PM):

All day _ Morning (9AM - Noon) _ Afternoon (Noon - 3 PM) _ Evening (3PM - 6PM) _
Select a Delivery Type

At the Friendly Neighbour Hotline, we support seniors with the delivery of both groceries and food banks. Due to the differences in these types of orders, we have two separate pools of volunteers: grocery delivery volunteers and food bank volunteers. You are welcome to participate in both if you would like!

Grocery delivery is our most flexible form of volunteering as it allows volunteers to shop and deliver at their own convinience. Food bank volunteering is less flexible, but it offers a recurring volunteering opportunity on either a weekly or monthly basis. Please note that food bank pick-ups are scheduled during normal working hours (9AM-5PM) and require either a car or buggy as they are large.
Please select a delivery preference(s)

Grocery Food bank
Are you interested in helping with food bank deliveries in your own ward (selected above) or anywhere in the city of Toronto?

I'd like to stay in my ward I can help wherever help is needed I will consider helping outside my ward if needed, but I prefer to stay in my ward
Privacy Information
Home Address *

Street Address

Street Address Line 2
Please upload a copy of a government issued photo ID (e.g. driver's license or passport): *Note: This information is being collected as a measure to further ensure the safety of seniors and volunteers. This information will be kept private and confidential on a secured server at the University Health Network. *

Upload a Photo

Cancel of
Please share any additional information about yourself that you feel is important for the organizers to know:
Please share links to your public online profiles (e.g. LinkedIn, Twitter, Facebook, personal website):
Emergency Contact
Name *

First Name Last Name
Phone Number *

Country Code Area Code Phone Number
Email
example@example.com
Relationship *
References (one reference MUST be work, school, or another volunteer organization)

For the safety of seniors, please share two references (one reference MUST be work, school or another volunteer organization).
Reference 1 - Name *

First Name Last Name
Phone Number *
Extension
x 12345
Email
example@example.com
Relationship *
Reference 2 - Name *

First Name Last Name
Phone Number *
Extension
x 12345
Email
example@example.com
Relationship *

Volunteer Declaration

Below is a series of Volunteer Declaration statements that you should review carefully. If you agree with the statement, please check each box to give your consent before submitting the form. As a Friendly Neighbour Hotline volunteer, you are expected to take precautions and act within the scope of responsibility as outlined in the Standard Operating Procedure and be faithful in honouring your volunteer commitments. You agree to exercise all reasonable care as to not disclose the private information of seniors nor expose them to unnecessary risk through extended and/or unnecessary exposure.
I certify that the information provided on this Volunteer Information Form is true and complete. I hereby give consent to the staff, representatives, volunteers and/or agents of UHN OpenLab to contact and connect me with a senior living in the Toronto area in need of help with the acquisition of essential items during the COVID-19 outbreak. I understand that: 1) My contact information will be shared with a senior in need; 2) I agree to keep all information related to the seniors I serve confidential, including their name, address, phone number, and details of their request. I understand that the documentation provided will be used solely for the purpose of verifying identities and will not be disclosed unless required by law. *

I have read and agree with the above statements. I hereby give my consent.
By participating in this program, I, the Volunteer, release and forever discharge and hold harmless UHN OpenLab, Toronto Community Housing and The City of Toronto (the ‘Organizers’), and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Friendly Neighbour Hotline initiative. I understand and acknowledge that this Release discharges the Organizers from any liability or claim that I may have against Organizers with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation. *

I have read and agree with the above statements. I hereby give my consent.
As a volunteer, I commit to handling each and every interaction with care and patience, ensuring above all that the care and wellbeing of seniors are maintained. In submitting this application I acknowledge that I understand all of the above and commit to following them in my capacity as a Friendly Neighbour Hotline volunteer. *

I have read and agree with the above statements. I hereby give my consent.
Should be Empty:

Volunteering Information

Select a Delivery Type

Privacy Information

Emergency Contact

References (one reference MUST be work, school, or another volunteer organization)

Volunteer Declaration