KSM General Volunteer Application
PERSONAL INFORMATION
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
How did you learn about our volunteer opportunities?
Are you 18 or older?
*
YES
NO
What is your date of birth?
*
-
Month
-
Day
Year
Date
Do you have a current Vulnerable Sector Check?
*
YES
NO
Have you ever been convicted of an offence for which you have not been pardoned?
*
YES
NO
AREAS OF INTEREST & AVAILABILITY
Areas of Interest (please check all that apply)
*
Market (Food Bank)
Kitchen
Warehouse
Front Desk
After School Program
Youth Program
Administrative
Available Days (please check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Available Times (please check all that apply)
*
Morning
Afternoon
Evening
REFERENCES
Please provide three.
Reference 1 Name
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reference Letter (if applicable)
Browse Files
Cancel
of
Reference 2 Name
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reference Letter (if applicable)
Browse Files
Cancel
of
Reference 3 Name
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reference Letter (if applicable)
Browse Files
Cancel
of
CERTIFICATION
By signing (typing) below, you are certifying that all information provided is true and complete.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: